Fasih Ul Haq, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

107325 Issued in CA

Practice address

21750 Valley Blvd Ste C
City of Industry, CA 91789-0939

Phone

(909) 345-1708

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fasih Ul Haq DMD PA

  • Dental Clinic/Center
  • Kissimmee, FL
  • NPI 1518835628
  NPD Authorized official
• M & H Dental Group PLLC

  • Dentist
  • Winter Garden, FL
  • NPI 1437016243
  NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1851915003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SW 198TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291238",
            "telephone_number": "954-279-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 VALLEY BLVD STE C",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917890939",
            "telephone_number": "909-345-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13401 Summerlin Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339196592",
            "country_code": "US",
            "telephone_number": "239-415-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQ",
        "first_name": "FASIH",
        "middle_name": "UL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24867",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "DN24867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brian Ray Harrow, M.D.
• Rebeca Patricia Hassin
• Xiaohua He
• Monet Mjeltevik Hendricks

• Dentist in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.