Individual provider Active NPI

Nardys Fridman, DDS

  • General Practice Dentistry
  • Santa Clarita, CA
National Provider Identifier
1801549654
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107639 Issued in CA
Practice address
27450 Tourney Rd Ste 270
Santa Clarita, CA 91355-5625
Phone
(661) 254-3700
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107639 CA Primary

Addresses

Primary practice location

27450 Tourney Rd Ste 270
Santa Clarita, CA 91355-5625

Mailing address

27450 Tourney Rd Ste 270
Santa Clarita, CA 91355-5625
Phone (661) 254-3700

Other names 1

  • Nardys Betania Romero Real Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107639CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fridman Family Dental Care PC PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1801549654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 270",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555625",
            "telephone_number": "661-254-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 270",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555625",
            "telephone_number": "661-254-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "NARDYS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARDYS",
            "last_name": "ROMERO REAL",
            "middle_name": "BETANIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.