Active NPI
Salih Murat Mayalidag, D.D.S
- Dentist
- Fresno, CA
National Provider Identifier
1699834432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54593
- Practice address
- 6073 N Fresno St Ste 103
Fresno, CA 93710-8614 - Phone
- (559) 432-9988
- NPI assigned
- Dec 7, 2006
- Last updated
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12068 | MN | |
| Dentist | 122300000X | 54593 | CA | Primary |
Addresses
Primary practice location
6073 N Fresno St Ste 103
Fresno, CA 93710-8614
Mailing address
6073 N Fresno St Ste 103
Fresno, CA 93710-8614
Phone (559) 432-9988
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54593 | CA | MD | Dentist |
| D12068 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salih M Mayalidag Dental Corp | Past | Accepting new patients | |
| Kaveh Karimi D.D.S a Professional Corp. | Dentist | Past | Accepting new patients |
Interoperability endpoints
- smayalidag@direct.westerndental.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba White and Bright Family Dental
- Dental Clinic/Center
- Fresno, CA
- NPI 1104309798
-
- Dentist
- Fresno, CA
- NPI 1952311375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1699834432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6073 N FRESNO ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108614",
"telephone_number": "559-432-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6073 N FRESNO ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108614",
"telephone_number": "559-432-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYALIDAG",
"first_name": "SALIH",
"middle_name": "MURAT",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12068",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54593",
"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 Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.