Isaac Navarro and Bevan Fareid Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION

Practice address

2682 Naglee Rd Ste 110
Tracy, CA 95304-7347

Phone

(209) 425-4505

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Navarro, DMD

Title

Owner Doctor

Phone

(209) 425-4505

Specialties & licenses 1

Addresses

Other names 1

• Naglee Dental Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1992299317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 NAGLEE RD STE 110",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047347",
            "telephone_number": "209-425-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "209-425-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naglee Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence & Comfort Living
• Sushma Indukuri, MD
• Cynthia Inguanzo
• Alea Inocencio
• Rachele Inouye, DPT
• Milana Istakhorova
• Tonie Iwu
• Diana Jackson
• Eithan Jackson
• Gena Gatson Jacobs

• Dentist in Tracy, CA
• Providers in Tracy, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.