Fredrick Edwin Stuart DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24875 Issued in CA

Legal business name

FREDRICK EDWIN STUART DDS, INC.

Practice address

8781 Van Nuys Blvd FL 2
Panorama City, CA 91402-2401

Phone

(818) 893-2716

Fax

(818) 994-4117

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Diana Rodriguez

Title

Manager

Phone

(213) 842-0538

Specialties & licenses 1

Addresses

Tax ID family

Fredrick Edwin Stuart DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Center of San Miguel

  • General Practice Dentistry
  • Panorama City, CA
  • NPI 1093145237
  NPD tax ID

Locations

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1477870665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD FL 2",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-893-2716",
            "fax_number": "818-994-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD FL 2",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-893-2716",
            "fax_number": "818-994-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK EDWIN STUART DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-842-0538"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrzad Forat, D.C., FNP
• Alison Danielle Forbes, PHARMD, APH, BCPS
• Sylvia Fowler, MD
• Mark Anthony Franco, L.AC.
• Julio Edwin Frausto-McNeil
• Elaine Fresco, RN, CNM
• Gloria Maria Frias, M.P.T.
• Frist Choice Healthcare Medical Group,Inc
• Kristin Fukushima
• Vonceal Fulford

• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, 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 Jan 14, 2011; 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.