NPIMap

Organization Active NPI

Mohammad Abul-Fielat DDS Inc

  • Pediatric Dentistry
  • Chino, CA
National Provider Identifier
1881817328
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43302 Issued in CA
Legal business name
MOHAMMAD ABUL-FIELAT DDS INC
Practice address
14275 Pipeline Ave.
Chino, CA 91710-5639
Phone
(909) 613-1144
Fax
(909) 613-0448
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Mr. Mohammad Ghazi Abul-Fielat, DDS
Title
Owner
Phone
(909) 613-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 43302 CA Primary

Addresses

Primary practice location

14275 Pipeline Ave.
Chino, CA 91710-5639

Mailing address

14275 Pipeline Ave.
Chino, CA 91710-5639
Phone (909) 613-1144

Other identifiers 1

IdentifierTypeStateIssuer
B4330201MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Abul Fielat DDS Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

14275 Pipeline Ave
Chino, CA 91710
Phone (508) 661-9358

2947 Chino Ave
Ste D2
Chino Hills, CA 91709
Phone (626) 978-8666

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1881817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 PIPELINE AVE.",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105639",
            "telephone_number": "909-613-1144",
            "fax_number": "909-613-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14275 PIPELINE AVE.",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105639",
            "telephone_number": "909-613-1144",
            "fax_number": "909-613-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL-FIELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "ABUL-FIELAT",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "GHAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-613-1144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4330201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.