Individual provider Active NPI

Sony Dao, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1679642367
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42991 Issued in CA
Practice address
4857 E Kings Canyon Rd
Fresno, CA 93727
Phone
(559) 251-7191
Fax
(559) 251-7190
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42991 CA Primary

Addresses

Primary practice location

4857 E Kings Canyon Rd
Fresno, CA 93727

Mailing address

4857 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 251-7191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42991CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sony Dao DDS. Inc, Dba Oc Smile Co. Current Accepting new patients

Locations

4857 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 251-7191

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1679642367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-251-7191",
            "fax_number": "559-251-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-251-7191",
            "fax_number": "559-251-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "SONY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.