Noel a. Fernandez DMD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

49097 Issued in CA

Legal business name

NOEL A. FERNANDEZ DMD INC

Practice address

2629 Springs Rd
Vallejo, CA 94591-5712

Phone

(707) 674-2777

Fax

(707) 642-2890

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Noel A Fernandez, DMDNPI 1053419515

Title

Owner/Dentist

Phone

(707) 674-2777

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.

• Noel Austria Fernandez, D.M.D.

  • Dentist
  • Vallejo, CA
  • NPI 1053419515
  NPD (past) Authorized official

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1568855583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 SPRINGS ROAD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-674-2777",
            "fax_number": "707-642-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915712",
            "telephone_number": "707-674-2777",
            "fax_number": "707-642-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL A. FERNANDEZ DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "707-674-2777",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "49097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Nock, MD
• Margaret Malig Nonato, PA-C
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• Preferred Provider Organization in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.