Organization Active NPI

Herndon Dental

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1972769107
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51470 Issued in CA
Legal business name
HERNDON DENTAL
Practice address
7029 N Ingram Ave
#105
Fresno, CA 93650-1091
Phone
(559) 440-1400
Fax
(559) 440-1434
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Ziad Dagher, D.D.S
Title
Owner
Phone
(559) 440-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51470 CA Primary

Addresses

Primary practice location

7029 N Ingram Ave
#105
Fresno, CA 93650-1091

Mailing address

7029 N Ingram Ave
#105
Fresno, CA 93711
Phone (559) 440-1400

National Provider Directory

National Provider Directory

Locations

7029 N Ingram Ave
Ste 105
Fresno, CA 93650
Phone (559) 440-1400

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1972769107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7029 N INGRAM AVE",
            "address_2": "#105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-440-1400",
            "fax_number": "559-440-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 N INGRAM AVE",
            "address_2": "#105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936501091",
            "telephone_number": "559-440-1400",
            "fax_number": "559-440-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-440-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.