Kids 2 Dentist Fresno, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIDS 2 DENTIST FRESNO, LLC

Practice address

460 E Shaw Ave
Fresno, CA 93710-7602

Phone

(323) 203-2564

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Jerry Lee LanierNPI 1356489660

Title

Member

Phone

(323) 461-9942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Lanier, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1356489660
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1700537719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 HOLLYWOOD BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273454",
            "telephone_number": "323-203-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107602",
            "telephone_number": "323-203-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS 2 DENTIST FRESNO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-461-9942"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tewodros Assefa Kidane, MD, MSC
• Carolyn Kidd, M.S.
• Darren Michael Kidd
• Trenton Edward Kidder
• Tamiko H Kido, M.D.
• Kids Play Therapy, Inc.
• Maria Sheu Kidwell, DDS
• Mallory Kieda
• Danielle Cathleene Kiel, OTR
• Richard George Kiel, M.D.

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.