Jose G Fernandez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5345 Issued in AZ

Practice address

4324 W Indian School Rd Ste 106
Phoenix, AZ 85031-2933

Phone

(623) 848-6700

Fax

(623) 848-6703

NPI assigned

May 22, 2007

Last updated

Aug 4, 2026By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Az Family and Kids Dental Mesa LLC

  • Dentist
  • Mesa, AZ
  • NPI 1679463723
  NPD (past)
• Carranza Dental Center PC

  • Dentist
  • Phoenix, AZ
  • NPI 1669424255
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730399619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 W INDIAN SCHOOL RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312933",
            "telephone_number": "623-848-6700",
            "fax_number": "623-848-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 W INDIAN SCHOOL RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312933",
            "telephone_number": "623-848-6700",
            "fax_number": "623-848-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 S Stapley Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852044271",
            "country_code": "US",
            "telephone_number": "480-733-9800",
            "fax_number": "480-733-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Fernandez, CTRS
• Elio A Fernandez, MD
• Jadeliene Fernandez
• Jennifer Fernandez, MD
• Jessmin Fernandez
• Mia G Fernandez, RBT
• Monica Fernandez
• Nayda Fernandez, RN
• Robin Renae Fernandez, M.ED, LISAC
• Rosa Ileana Fernandez

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.