Adrian D. Fenderson, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

20852 Issued in CA

Legal business name

ADRIAN D. FENDERSON, DDS, INC.

Practice address

3416 Valle Verde Dr
Napa, CA 94558-2415

Phone

(707) 258-8700

Fax

(707) 255-4542

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adrian Darvin Fenderson, DDSNPI 1306854377

Title

President

Phone

(707) 258-8700

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrian D Fenderson, DDS

  • General Practice Dentistry
  • Napa, CA
  • NPI 1306854377
  Authorized official Same address or phone

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710189469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582415",
            "telephone_number": "707-258-8700",
            "fax_number": "707-255-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582415",
            "telephone_number": "707-258-8700",
            "fax_number": "707-255-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN D. FENDERSON, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENDERSON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "DARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-258-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "20852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306854377",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDA LICENSE",
            "identifier": "20852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth Adams
• Dayna Adams, LMFT
• Cheryl Lea Aday
• Vanessa Adcock
• Abhijit A Adhye, M.D.
• Adult Full Service Partnership
• Adventist Health California Medical Group, Inc.
• Adventist Health California Medical Group, Inc. (St. Helena Neurology)
• Adventist Health California Medical Group, Inc. (St. Helena Neurology)
• Adventist Health Physicians Network

• Dental Clinic/Center in Napa, CA
• Providers in Napa, CA by specialty
• Dental Clinic/Center in California

• 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.

Verify at the official NPI Registry.