Robert W. Fattouch D.M.D., P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60280 Issued in CA

Legal business name

ROBERT W. FATTOUCH D.M.D., P.C.

Practice address

15835 Pomerado Rd.
Suite 303
Poway, CA 92064-2073

Phone

(858) 674-4267

Fax

(858) 676-0258

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Wadid Fattouch, D.M.D.NPI 1144386194

Title

Owner/President

Phone

(858) 674-4261

Specialties & licenses 1

Addresses

Other names 1

• Poway Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Fattouch, DMD

  • Pediatric Dentistry
  • Poway, CA
  • NPI 1144386194
  NPD (past) Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1619243227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 POMERADO RD",
            "address_2": "SUITE 303",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642073",
            "telephone_number": "868-674-4261",
            "fax_number": "858-676-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 POMERADO RD.",
            "address_2": "SUITE 303",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642073",
            "telephone_number": "858-674-4267",
            "fax_number": "858-676-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. FATTOUCH D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "FATTOUCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WADID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-674-4261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlene Roacho
• Road 2 Recovery
• Peter A Robben, LCSW
• Amanda A Robershaw-Kilpatrick
• Robert C. Kim, DDS, Inc.
• Christy Maria Roberts
• Cynthia Ann Robertson, MD
• Kristine Robinson, PA-C
• Randy Jon Robinson, PH.D.
• Ernest Robrecht

• Pediatric Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.