Organization Active NPI

M N Ayyubi DDS Inc

  • Dental Clinic/Center
  • Modesto, CA
National Provider Identifier
1902272701
Registry record updated Aug 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
C3806087 Issued in CA
Legal business name
M N AYYUBI DDS INC
Practice address
4120 Dale Rd
Suite J6
Modesto, CA 95356-9232
Phone
(917) 361-5560
NPI assigned
Aug 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2015

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

Authorized official

Name
Dr. Muhammad Naveed Ayyubi, DDSNPI 1710032552
Title
President
Phone
(917) 361-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X C3806087 CA Primary

Addresses

Primary practice location

4120 Dale Rd
Suite J6
Modesto, CA 95356-9232

Mailing address

4120 Dale Rd
Suite J6
Modesto, CA 95356-9232
Phone (917) 361-5560

Other names 1

  • Accord Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4120 Dale Rd
Ste J6
Modesto, CA 95356
Phone (209) 247-3307

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": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439596800000",
    "number": "1902272701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD",
            "address_2": "SUITE J6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "917-361-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DALE RD",
            "address_2": "SUITE J6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "917-361-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M N AYYUBI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A",
        "authorized_official_last_name": "AYYUBI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "NAVEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-361-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "C3806087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accord Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.