Chad J. Anderson Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

52822 Issued in CA

Legal business name

CHAD J. ANDERSON DENTAL CORPORATION

Practice address

5084 N Fruit Ave Ste 101
Fresno, CA 93711-3000

Phone

(559) 226-3686

Fax

(559) 226-0947

NPI assigned

Apr 28, 2015

Organization subpart

Yes

Parent organization

CHAD J. ANDERSON DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Chad Jason Anderson, DMD

Title

Owner

Phone

(559) 434-1096

Specialties & licenses 1

Addresses

Part of

Chad J Anderson Dental Corporation

Locations

Practitioners 4

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

• George T King, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1720186810
  NPD (past)
• Gregory Allen Leisle, DDS

  • Dentist
  • Fresno, CA
  • NPI 1295935393
  NPD (past)
• Fatemeh Moormehei, D.D.S

  • Dentist
  • Fresno, CA
  • NPI 1336538016
  NPD (past)
• Matthew Edward Pia, D.D.S.

  • Dentist
  • Madera, CA
  • NPI 1124010046
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1780061879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9497 N FORT WASHINGTON RD STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300606",
            "telephone_number": "559-434-1096",
            "fax_number": "559-434-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 N FRUIT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113000",
            "telephone_number": "559-226-3686",
            "fax_number": "559-226-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD J. ANDERSON DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAD J. ANDERSON DENTAL CORPORATION",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-434-1096",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Chac Valdivia
• Cindy Chac
• Quetzalsol Felipe Chacon-Lopez, M.D., M.P.H.
• Jessie Chacon
• Chad J. Anderson D.M.D. Inc
• Stephanie Alise Chadwick
• Sung Chae, M.D.
• Rachel Ann Chaffin, A.A. DEGREE
• Stacy Lynn Chaffin, P.T.
• Angelica Chaghouri, DDS

• 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 Apr 28, 2015; 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.