Organization Active NPI

Firas J Husein DDS Inc

  • Dental Clinic/Center
  • Petaluma, CA
National Provider Identifier
1649849423
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FIRAS J HUSEIN DDS INC
Practice address
701 Sonoma Mountain Pkwy Ste E1
Petaluma, CA 94954-8519
Phone
(707) 782-0789
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Firas Husein, DDSNPI 1578621355
Title
Doctor
Phone
(707) 782-0789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

701 Sonoma Mountain Pkwy Ste E1
Petaluma, CA 94954-8519

Mailing address

701 Sonoma Mountain Pkwy Ste E1
Petaluma, CA 94954-8519
Phone (707) 782-0789

National Provider Directory

National Provider Directory

Locations

701 Sonoma Mountain Pkwy
Ste E1
Petaluma, CA 94954
Phone (707) 782-0789

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1649849423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SONOMA MOUNTAIN PKWY STE E1",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548519",
            "telephone_number": "707-782-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SONOMA MOUNTAIN PKWY STE E1",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548519",
            "telephone_number": "707-782-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRAS J HUSEIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "HUSEIN",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "707-782-0789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.