Ryan James Fait, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

63614 Issued in CA

Practice address

2700 N Bellflower Blvd
Suite#206
Long Beach, CA 90815-2421

Phone

(562) 982-1552

Fax

(562) 425-3412

NPI assigned

Aug 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ryan J. Fait, DDS, Inc.

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1437815057
  NPD Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1619376027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151144",
            "telephone_number": "562-982-1552",
            "fax_number": "562-425-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD",
            "address_2": "SUITE#206",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152421",
            "telephone_number": "562-982-1552",
            "fax_number": "562-425-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635B Cresent Ave",
            "address_purpose": "LOCATION",
            "city": "Avalon",
            "state": "CA",
            "postal_code": "90704",
            "country_code": "US",
            "telephone_number": "310-510-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIT",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA",
            "identifier": "63614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.