S M Kiwan, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50411 Issued in CA

Legal business name

S M KIWAN, DDS, INC

Doing business as

High Sierra Dental Center

Practice address

4820 N. 1St Street
Suite 105
Fresno, CA 93726-0522

Phone

(559) 224-3110

Fax

(559) 227-7752

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Saleem M Kiwan, DDS

Title

Provider/Owner/President

Phone

(559) 224-3110

Specialties & licenses 2

Addresses

Other names 1

• High Sierra Dental Center Doing business as

Locations

Practitioners 1

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

• Sneha B Shah, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1265642797
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1790034700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 N. 1ST STREET",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260522",
            "telephone_number": "559-224-3110",
            "fax_number": "559-227-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 N. 1ST STREET",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260522",
            "telephone_number": "559-224-3110",
            "fax_number": "559-227-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S M KIWAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "KIWAN",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-224-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50411",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Sierra Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Rye
• Marvin C Rye, O.D.
• Jeanette Rose Rylander, M.D.
• Michelle Lynn Rymer, LVN
• Jane Ryu, DO
• S Mavi,D.D.S., Incorporated
• S N Express LLC
• S Primewave Corporation
• S Vision Group Inc
• S. J. Garza, D.D.S. Inc.

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.