Fabrizio Dall'Olmo, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

45238 Issued in CA

Practice address

13407 Walnut St
Whittier, CA 90602-2403

Phone

(562) 693-2741

Fax

(562) 309-4433

NPI assigned

Dec 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fabrizio Dall'Olmo DDS Inc.

  • Dentist
  • Whittier, CA
  • NPI 1922644293
  NPD (past) Authorized official

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1881963742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13407 WALNUT ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022403",
            "telephone_number": "562-693-2741",
            "fax_number": "562-309-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 WALNUT ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022403",
            "telephone_number": "562-693-2741",
            "fax_number": "562-309-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALL'OLMO",
        "first_name": "FABRIZIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "45238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881963742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diti Dalal
• Mrugesh V Dalal, DDS
• Danielle Kate Dalan
• Nelson Edgar Dalla Tor, MD
• Josie Dang
• Daniel Akvavan,MD Inc
• Daniel V. Romo, DDS PC
• Carol Daniels, R.N.

• Periodontics in Whittier, CA
• Providers in Whittier, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.