Individual provider Active NPI

David Au, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1679457014
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
064922 Issued in NY
Practice address
215 N Fresno St Ste 490
Fresno, CA 93701-2363
Phone
(559) 459-5744
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 064922 NY Primary

Addresses

Primary practice location

215 N Fresno St Ste 490
Fresno, CA 93701-2363

Mailing address

215 N Fresno St Ste 490
Fresno, CA 93701-2363
Phone (559) 459-5744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210002984 CA Practitioner - Dentist 2668966391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Associates of Central CaliforniaGroup PAC ID 1052735552, 6 clinicians

Practice addresses (Care Compare)

215 N Fresno St
Suite 490
Fresno, CA 93701-2363
Phone (559) 459-4101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064922NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Associates of Central California CurrentSince Sep 27, 2025 Accepting new patients

Locations

215 N Fresno St
Ste 490
Fresno, CA 93701
Phone (559) 459-4101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1679457014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N FRESNO ST STE 490",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012363",
            "telephone_number": "559-459-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N FRESNO ST STE 490",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012363",
            "telephone_number": "559-459-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "064922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.