Organization Active NPI

Signature Smiles Practice of Owji

  • Dental Clinic/Center
  • Clovis, CA
National Provider Identifier
1750804266
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53844 Issued in CA
Legal business name
SIGNATURE SMILES PRACTICE OF OWJI
Practice address
255 W Bullard Ave Ste 106
Clovis, CA 93612-0861
Phone
(559) 298-3384
NPI assigned
Jul 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mohmmad Reza Owji
Title
DDS
Phone
(559) 298-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53844 CA Primary

Addresses

Primary practice location

255 W Bullard Ave Ste 106
Clovis, CA 93612-0861

Mailing address

255 W Bullard Ave Ste 106
Clovis, CA 93612-0861
Phone (559) 298-3384

National Provider Directory

National Provider Directory

Locations

255 W Bullard Ave
Ste 106
Clovis, CA 93612
Phone (559) 298-3384

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750804266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 106",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-298-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 106",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-298-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES PRACTICE OF OWJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OWJI",
        "authorized_official_first_name": "MOHMMAD",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "559-298-3384"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.