Organization Active NPI

RW Fattouch DMD, Inc.

  • Pediatric Dentistry
  • Temecula, CA
National Provider Identifier
1659985802
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RW FATTOUCH DMD, INC.
Practice address
42210 Lyndie LN Ste 100
Temecula, CA 92591-3604
Phone
(951) 506-1666
Fax
(888) 932-5863
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. Robert Wadid Fattouch, DMDNPI 1144386194
Title
Owner
Phone
(951) 506-1666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

42210 Lyndie LN Ste 100
Temecula, CA 92591-3604

Mailing address

42210 Lyndie LN Ste 100
Temecula, CA 92591-3604
Phone (951) 506-1666

National Provider Directory

National Provider Directory

Locations

42210 Lyndie Ln
Ste 100
Temecula, CA 92591
Phone (951) 506-1666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1659985802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42210 LYNDIE LN STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913604",
            "telephone_number": "951-506-1666",
            "fax_number": "888-932-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42210 LYNDIE LN STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913604",
            "telephone_number": "951-506-1666",
            "fax_number": "888-932-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW FATTOUCH DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "FATTOUCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WADID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-506-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.