Raji Haddad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39001 Issued in CA

Practice address

310 W. Shaw Ave
Fresno, CA 93704

Phone

(559) 229-8200

Fax

(559) 229-2971

NPI assigned

Mar 16, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raji Haddad D.D.S. Inc. Dba First Family Dental

  • Dentist
  • Fresno, CA
  • NPI 1003254335
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922132216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042646",
            "telephone_number": "559-229-8200",
            "fax_number": "559-229-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W. SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-229-8200",
            "fax_number": "559-229-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "RAJI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Andrew Hackett, PHARM.D.
• Terrance Hackney
• Shiva Hadadianpour, MD
• Mary Margaret Hadcock, M.D.
• William E Hadcock, M.D.
• David M. Hadden, M.D.
• Zetta Albertson Hadden, LCSW
• Rebecca Hadeed, DO, MPH
• Maryam Hadipour, MD
• Cassie Jo Hadley

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.