NPIMap

Organization Active NPI

Mona a Fahmy D.D.S. Inc.

Doing business as Buena Park Dental Center

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1467857391
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39358 Issued in CA
Legal business name
MONA A FAHMY D.D.S. INC.
Doing business as
Buena Park Dental Center
Practice address
8402 Commonwealth Ave
Buena Park, CA 90621-2528
Phone
(714) 739-2051
Fax
(714) 739-5146
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. Mona Adel Fahmy, D.D.S.NPI 1801909858
Title
Owner/Dentist
Phone
(714) 739-2051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39358 CA Primary

Addresses

Primary practice location

8402 Commonwealth Ave
Buena Park, CA 90621-2528

Mailing address

8402 Commonwealth Ave
Buena Park, CA 90621-2528
Phone (714) 739-2051

Other identifiers 1

IdentifierTypeStateIssuer
B39358-01OtherCADENTI-CAL (MEDI-CAL)

Other names 1

  • Buena Park Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1467857391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 COMMONWEALTH AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212528",
            "telephone_number": "714-739-2051",
            "fax_number": "714-739-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 COMMONWEALTH AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212528",
            "telephone_number": "714-739-2051",
            "fax_number": "714-739-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA A FAHMY D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "714-739-2051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL (MEDI-CAL)",
            "identifier": "B39358-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Park Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.