Henry D. Fajardo, D.M.D., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

45107 Issued in CA

Legal business name

HENRY D. FAJARDO, D.M.D., INC.

Practice address

2100 E Clinton Ave
Fresno, CA 93703-2134

Phone

(559) 224-5988

Fax

(559) 224-5933

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Henry Doloso Fajardo, DMDNPI 1548352685

Title

President

Phone

(559) 224-5988

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.

• Henry Doloso Fajardo, D.M.D.

  • Dentist
  • Fresno, CA
  • NPI 1548352685
  NPD (past) Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1487065454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E. CLINTON AVE.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032134",
            "telephone_number": "559-224-5988",
            "fax_number": "559-224-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032134",
            "telephone_number": "559-224-5988",
            "fax_number": "559-224-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY D. FAJARDO, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DOLOSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-224-5988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Henne
• Megan Lee Hennesy, PA-C
• Jennifer Tanner Henriksen, MSPT
• Michael Scott Henriksen, DDS
• Carmen Henriquez
• Carol Henry
• Claire Henry, OD
• Julie An Henry, RPH
• Zachary Christophe Henry
• Ashton Hensley, PT, DPT

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.