Alfred Shoalan Ding, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

29039 Issued in CA

Practice address

2147 Mowry Ave.
Suite a-1
Fremont, CA 94538

Phone

(510) 574-1868

Fax

(510) 574-1894

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Patrick G Duffy DDS, MD Inc

  • Dental Clinic/Center
  • Fremont, CA
  • NPI 1821340415
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1699837096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE",
            "address_2": "SUITE A-1",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-574-1868",
            "fax_number": "510-574-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE.",
            "address_2": "SUITE A-1",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-574-1868",
            "fax_number": "510-574-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "ALFRED",
        "middle_name": "SHOALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "29039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Josue Dimas-Vargas
• Brianne Dimiceli
• Trevor Dimich
• Ronald Joseph Dimichele
• Gregory Dimont, PHARMD
• Xiufen Ding, MD
• Andrea Salazar Dinh, DDS
• Catarina Dinh
• Christine Uyen-Nghi Dinh, MD
• Elizabeth Dinh, DMD

• Oral and Maxillofacial Pathology Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.