Active NPI
K Rafisolyman DDS Inc
- General Practice Dentistry
- Lemoore, CA
National Provider Identifier
1699831669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47997
- Legal business name
- K RAFISOLYMAN DDS INC
- Practice address
- 353 C St
Lemoore, CA 93245-2931 - Phone
- (559) 924-7000
- Fax
- (559) 924-6351
- NPI assigned
- Dec 27, 2006
- 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
- Dr. Karmell Rafisolyman, D.D.S.
- Title
- President
- Phone
- (559) 924-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47997 | CA | Primary |
Addresses
Primary practice location
353 C St
Lemoore, CA 93245-2931
Mailing address
353 C St
Lemoore, CA 93245-2931
Phone (559) 924-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47997 | Other | CA | DELTA DENTAL |
| G92364-01 | Medicaid | CA | |
| 1355602 | Other | CA | UNITED CONCORDIA |
Other names 1
- LEMOORE DENTAL GROUP
National Provider Directory
National Provider DirectoryLocations
353 C St
Lemoore, CA 93245
Phone (559) 924-7000
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": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699831669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 C ST",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452931",
"telephone_number": "559-924-7000",
"fax_number": "559-924-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 C ST",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452931",
"telephone_number": "559-924-7000",
"fax_number": "559-924-6351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K RAFISOLYMAN DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAFISOLYMAN",
"authorized_official_first_name": "KARMELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-924-7000",
"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": "47997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "47997",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G92364-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1355602",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LEMOORE DENTAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.