Organization Active NPI

Fielat Sandu Dental Practice

  • Pediatric Dentistry
  • Mission Viejo, CA
National Provider Identifier
1609657725
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FIELAT SANDU DENTAL PRACTICE
Practice address
25523 Marguerite Parkway
Unit #C
Mission Viejo, CA 92692-2925
Phone
(714) 534-4644
Fax
(951) 848-0904
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FIELAT SANDU DENTAL PRACTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Mohammad G Abul-Fielat
Title
Dentist/Owner
Phone
(951) 688-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

25523 Marguerite Parkway
Unit #C
Mission Viejo, CA 92692-2925

Mailing address

25523 Marguerite Parkway
Unit #C
Mission Viejo, CA 92692-2925
Phone (714) 534-4644

National Provider Directory

National Provider Directory
Part of
Fielat Sandu Dental Practice

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1609657725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25523 MARGUERITE PARKWAY",
            "address_2": "UNIT #C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922925",
            "telephone_number": "714-534-4644",
            "fax_number": "951-848-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25523 MARGUERITE PARKWAY",
            "address_2": "UNIT #C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922925",
            "telephone_number": "714-534-4644",
            "fax_number": "951-848-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELAT SANDU DENTAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIELAT SANDU DENTAL PRACTICE",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ABUL-FIELAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "951-688-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.