Jcarlos Mendoza, D.D.S., a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58384 Issued in CA

Legal business name

JCARLOS MENDOZA, D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

7035 N Chestnut Ave
Suite #107
Fresno, CA 93720-0352

Phone

(559) 298-3200

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Juancarlos Partida Mendoza, D.D.S.

Title

Dentist

Phone

(559) 298-3200

Specialties & licenses 1

Addresses

Other names 1

• iTooth Dentistry Doing business as

Locations

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1669875944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 N CHESTNUT AVE",
            "address_2": "SUITE #107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200352",
            "telephone_number": "559-298-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 N CHESTNUT AVE",
            "address_2": "SUITE #107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200352",
            "telephone_number": "559-298-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCARLOS MENDOZA, D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JUANCARLOS",
        "authorized_official_middle_name": "PARTIDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-298-3200",
        "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": "58384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iTooth Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Oct 1, 2014; 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.