Changizi & Ismail Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHANGIZI & ISMAIL DENTAL CORPORATION

Doing business as

Dental Group of California

Practice address

4952 E Kings Canyon Rd # 101
Fresno, CA 93727-3896

Phone

(559) 453-9100

Fax

(559) 453-9200

NPI assigned

Jul 7, 2011

Last updated

Aug 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sussan Changizi, DDS

Title

President / Secretary

Phone

(559) 453-9100

Specialties & licenses 1

Addresses

Other names 1

• DENTAL GROUP OF CALIFORNIA Doing business as

Locations

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1518254887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 E KINGS CANYON RD # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273896",
            "telephone_number": "559-453-9100",
            "fax_number": "559-453-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 E KINGS CANYON RD # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273896",
            "telephone_number": "559-453-9100",
            "fax_number": "559-453-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGIZI & ISMAIL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "CHANGIZI",
        "authorized_official_first_name": "SUSSAN",
        "authorized_official_title_or_position": "PRESIDENT / SECRETARY",
        "authorized_official_telephone_number": "559-453-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL GROUP OF CALIFORNIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley Chang, M.D.
• Stanley C. Chang, MD
• Vicky Chang
• Willis L Chang
• Yoshi Chang, M.D.
• Sussan Chanizi, DDS
• Chann & Chann MD Professional Corp (Cardiac Core Physicians Med Grp)
• Harcharn S Chann, MD
• Jagmeet K Chann, MD
• Janet Chantharangsy

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 8, 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.