Organization Active NPI

Miguel a Frisancho DDS Inc

  • Dental Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1992521538
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIGUEL A FRISANCHO DDS INC
Practice address
5409 Dewey Dr
Fair Oaks, CA 95628-3137
Phone
(916) 967-1234
Fax
(916) 967-2804
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Dr. Miguel A Frisancho, DDSNPI 1124271937
Title
Owner Dentist
Phone
(916) 967-1234

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 Primary

Addresses

Primary practice location

5409 Dewey Dr
Fair Oaks, CA 95628-3137

Mailing address

5409 Dewey Dr
Fair Oaks, CA 95628-3137
Phone (916) 967-1234

National Provider Directory

National Provider Directory

Locations

5409 Dewey Dr
Fair Oaks, CA 95628
Phone (916) 967-1234

Practitioners & affiliated clinicians

Practitioners 2

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": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1992521538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 DEWEY DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283137",
            "telephone_number": "916-967-1234",
            "fax_number": "916-967-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 DEWEY DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283137",
            "telephone_number": "916-967-1234",
            "fax_number": "916-967-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A FRISANCHO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "FRISANCHO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "916-967-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.