Individual provider Active NPI

Akram Abdo Mohamed Saad, DMD

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1588279723
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105438 Issued in CA
Practice address
452 E Shaw Ave
Fresno, CA 93710-7602
Phone
(559) 589-8600
NPI assigned
Sep 14, 2020
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105438 CA Primary

Addresses

Primary practice location

452 E Shaw Ave
Fresno, CA 93710-7602

Mailing address

452 E Shaw Ave
Fresno, CA 93710-7602
Phone (559) 589-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105438CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1588279723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107602",
            "telephone_number": "559-589-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107602",
            "telephone_number": "559-589-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "AKRAM",
        "middle_name": "ABDO MOHAMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.