Organization Active NPI

Necdet Ozder Dental PC

  • Dentist
  • Fresno, CA
National Provider Identifier
1811277759
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53844 Issued in CA
Legal business name
NECDET OZDER DENTAL PC
Practice address
7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349
Phone
(559) 475-0357
Fax
(559) 475-0389
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Necdet Ozder, D.D.S.
Title
President
Phone
(661) 202-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53844 CA Primary

Addresses

Primary practice location

7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349

Mailing address

7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349
Phone (559) 475-0357

Other names 1

  • Premier Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7015 N Chestnut Ave
Fresno, CA 93720
Phone (559) 475-0357

7015 N Chestnut Ave
Ste 104
Fresno, CA 93720
Phone (559) 475-0357

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1811277759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 N CHESTNUT AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200349",
            "telephone_number": "559-475-0357",
            "fax_number": "559-475-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 N CHESTNUT AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200349",
            "telephone_number": "559-475-0357",
            "fax_number": "559-475-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECDET OZDER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "OZDER",
        "authorized_official_first_name": "NECDET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-202-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.