Tareq M. Afifi, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61584 Issued in CA

Legal business name

TAREQ M. AFIFI, D.D.S., INC.

Practice address

12850 10TH St
Suite B1
Chino, CA 91710-4293

Phone

(909) 613-0111

Fax

(909) 613-0150

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tareq Mohyi-Eldin Afifi, D.D.S.NPI 1710230206

Title

Dentist

Phone

(909) 613-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Tareq Afifi, D.D.S

  • General Practice Dentistry
  • Chino, CA
  • NPI 1710230206
  Medicare reassignment NPD Authorized official
• Maryam M. Afifi, DMD, MS

  • Dentist
  • Chino, CA
  • NPI 1386017002
  NPD (past)
• Francisco Uribe, DDS

  • General Practice Dentistry
  • Chino, CA
  • NPI 1871475657
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1659744803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 10TH ST",
            "address_2": "SUITE B1",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104293",
            "telephone_number": "909-613-0111",
            "fax_number": "909-613-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 10TH ST",
            "address_2": "SUITE B1",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104293",
            "telephone_number": "909-613-0111",
            "fax_number": "909-613-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREQ M. AFIFI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "AFIFI",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_middle_name": "MOHYI-ELDIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-613-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Fernandez Tamayo, DNP
• Cathy Tan
• Mei Han Tang-Pieri
• Tony Tang, DC
• Stephen George Tapia
• Target
• Tarsem Singhal a Dental Corporation
• Yee-Chaw Tay, RPH
• Gina Michelle Taylor, BCBA
• Travis R Taylor, MS LMFT

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.