NPIMap

Organization Active NPI

Abc Dental Group,Dr'S Fay,Myint,Aung a Prof.Dental Corp.

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1467576017
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABC DENTAL GROUP,DR'S FAY,MYINT,AUNG A PROF.DENTAL CORP.
Practice address
2544 S Mooney Blvd
Visalia, CA 93277-6237
Phone
(559) 733-9797
Fax
(559) 739-0786
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Mehrdad Fay, DDS
Title
President
Phone
(559) 733-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA Primary

Addresses

Primary practice location

2544 S Mooney Blvd
Visalia, CA 93277-6237

Mailing address

2544 S Mooney Blvd
Visalia, CA 93277-6237
Phone (559) 733-9797

Other identifiers 8

IdentifierTypeStateIssuer
185601OtherCADELTA CARE USA-HMO
159654OtherCACIGNA HMO
1626OtherCACALIFORNIADENTAL NETWORK
13674OtherCAPACIFIC UNION DENTAL HMO
761OtherCADENTAL NET HMO
B40815-01OtherCADENTI-CAL
349835OtherCAUNITED CONCORDIA
B40815-01OtherCAHEALTHY FAMILIES

Other names 1

  • ABC Dental Group-Faghih DDS Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

2544 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9797

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1467576017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776237",
            "telephone_number": "559-733-9797",
            "fax_number": "559-739-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776237",
            "telephone_number": "559-733-9797",
            "fax_number": "559-739-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTAL GROUP,DR'S FAY,MYINT,AUNG A PROF.DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-733-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA CARE USA-HMO",
            "identifier": "185601",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "159654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIADENTAL NETWORK",
            "identifier": "1626",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION DENTAL HMO",
            "identifier": "13674",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NET HMO",
            "identifier": "761",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B40815-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "349835",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B40815-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Dental Group-Faghih DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.