Organization Active NPI

Neikka Fareid, D.D.S. a Professional Corporation

  • Dental Clinic/Center
  • Kingsburg, CA
National Provider Identifier
1447801477
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEIKKA FAREID, D.D.S. A PROFESSIONAL CORPORATION
Practice address
1591 Earl St
Kingsburg, CA 93631-2200
Phone
(559) 897-5042
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neikka May Fareid, DDS
Title
DDS
Phone
(559) 908-5073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1591 Earl St
Kingsburg, CA 93631-2200

Mailing address

1591 Earl St
Kingsburg, CA 93631-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kingsburgsmile.com

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1447801477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 EARL ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 EARL ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312200",
            "telephone_number": "559-897-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIKKA FAREID, D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "FAREID",
        "authorized_official_first_name": "NEIKKA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "559-908-5073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kingsburgsmile.com",
            "affiliation": "N",
            "address_1": "1591 Earl St",
            "city": "Kingsburg",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936312200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.