Active NPI
Noura Fadel DDS Inc
- Advanced Practice Dental Therapist
- Redlands, CA
National Provider Identifier
1679216253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- Legal business name
- NOURA FADEL DDS INC
- Practice address
- 720 Brookside Ave Ste 100
Redlands, CA 92373-5189 - Phone
- (909) 488-0222
- Fax
- (909) 300-0550
- NPI assigned
- Apr 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noura Fadel
- Title
- Owner Dentist
- Phone
- (909) 488-0222
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Orofacial Pain Dentistry | 1223X2210X | |||
| Advanced Practice Dental Therapist | 125K00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
720 Brookside Ave Ste 100
Redlands, CA 92373-5189
Mailing address
720 Brookside Ave Ste 100
Redlands, CA 92373-5189
Phone (909) 488-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
720 Brookside Ave
Ste 100
Redlands, CA 92373
Phone (585) 770-0592
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Dental Therapist
- Redlands, CA
- NPI 1881826931
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Loma Linda, CA
- NPI 1356721302
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1679216253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 BROOKSIDE AVE STE 100",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735189",
"telephone_number": "909-488-0222",
"fax_number": "909-300-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 BROOKSIDE AVE STE 100",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735189",
"telephone_number": "909-488-0222",
"fax_number": "909-300-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURA FADEL DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-20",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "FADEL",
"authorized_official_first_name": "NOURA",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "909-488-0222"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "125K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Dental Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.