Fair Oaks Quality Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55259 Issued in CA

Legal business name

FAIR OAKS QUALITY DENTAL INC

Practice address

11622 Fair Oaks Blvd Ste 103
Fair Oaks, CA 95628-3768

Phone

(408) 761-6556

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Nahid Afshari, DDS

Title

Dentist

Phone

(408) 761-6556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1548689854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11622 FAIR OAKS BLVD STE 103",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11622 FAIR OAKS BLVD STE 103",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283768",
            "telephone_number": "408-761-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS QUALITY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "AFSHARI",
        "authorized_official_first_name": "NAHID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-761-6556",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Escandon
• Eskaton Properties, Incorporated (Eskaton Care Center Fair Oaks)
• Eskaton Properties, Incorporated (Eskaton Home Healthcare)
• Christin Estes
• Danny Wood Evans
• Fair Oaks Residential Treatment Facility
• Fair Oaks Villas
• Zarlasht Fakiri, D.O
• Jordan Shea Falasco
• Family Home Medical Inc

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, 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 Apr 21, 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.