Fred Hanosh D.D.S. Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24792 Issued in CA

Legal business name

FRED HANOSH D.D.S. PROFESSIONAL CORPORATION

Practice address

6161 Clark Rd Ste 8
Paradise, CA 95969-4164

Phone

(530) 872-1020

Fax

(530) 877-7555

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred Norman Hanosh, D.D.S.NPI 1730274275

Title

Dentist

Phone

(530) 872-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fred Norman Hanosh, DDS

  • General Practice Dentistry
  • Paradise, CA
  • NPI 1730274275
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467653105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 CLARK RD STE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694164",
            "telephone_number": "530-872-1020",
            "fax_number": "530-877-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 CLARK RD STE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694164",
            "telephone_number": "530-872-1020",
            "fax_number": "530-877-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED HANOSH D.D.S. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANOSH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-872-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Folger
• Pamala Marie Folger, LCSW
• Cathryn Denise Forbes
• Bradley Davis Foster, D.C.
• Lisa Alison Franco
• Richard Don Fylstra
• G. Scott Hanosh, DDS, Inc & G. Beau Hunter, DDS, Inc.
• Paul Maria Gahlinger, M.D.
• David Jeffery Gajda, M.D.
• Galen Inpatient Physicians Inc

• General Practice Dentistry in Paradise, CA
• Providers in Paradise, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.