Fawzy Tadros DDS.Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49677 Issued in CA

Legal business name

FAWZY TADROS DDS.INC

Practice address

12601 San Fernando Rd Ste H
Sylmar, CA 91342-7733

Phone

(818) 364-1991

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Fawzy Tadros, DDSNPI 1376703686

Title

Owner

Phone

(818) 364-1991

Specialties & licenses 1

Addresses

Other names 1

• Saint Mina family dental 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.

• Fawzy Tadros, DDS

  • General Practice Dentistry
  • Sylmar, CA
  • NPI 1376703686
  NPD (past) Authorized official

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1639417306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD STE H",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD STE H",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-364-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWZY TADROS DDS.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "FAWZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-364-1991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mina family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanne Zabala Farestveit, MD
• Farhadian Sylmar Dental Group, Inc.
• Funmilola Fashola, NP
• Omobola Fashola
• Payman Fathizadeh, M.D.
• Geraldine Mae Tiratira Feliciano
• Brianna Melissa Felix
• Christian Manuel Felix
• Jessica Felix
• Fenton Care

• Dental Clinic/Center in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.