Jairo H Molta DDS.Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

53629 Issued in CA

Legal business name

JAIRO H MOLTA DDS.INC.

Practice address

371 E Bullard Ave Ste 118
Fresno, CA 93710-5217

Phone

(559) 440-0150

Fax

(559) 435-4370

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jairo H Molta, D.D.S.

Title

Owner

Phone

(559) 440-0150

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386374400000",
    "number": "1487789889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 E BULLARD AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105217",
            "telephone_number": "559-440-0150",
            "fax_number": "559-435-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E BULLARD AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105217",
            "telephone_number": "559-440-0150",
            "fax_number": "559-435-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO H MOLTA DDS.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-12-07",
        "status": "A",
        "authorized_official_last_name": "MOLTA",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-440-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA FSN,HFP",
            "identifier": "B53629-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G93956-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aayush Jain
• Ashna A Jain, DDS
• Naman Jain, DO, MBA
• Vikrum Jain, MD
• Sridivya Jaini, M.D.
• Prahalad B Jajodia, MD
• Auzadeh Hadiss Jalali, PHARMD
• Sophia Nora Jalil
• David Jalomo
• James Eisenberg MD Inc

• 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 Dec 7, 2013; 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.