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Dr. Quincy Izabela Sofowora , DDS

Dentist - General Practice β€’ Fresno, CA

Active NPI 1013629740 Individual Practitioner Female Practitioner
Practice location in NPPES

4901 E Kings Canyon Rd
Fresno, CA 937273812

Call 8665928129 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4901 E Kings Canyon Rd

Fresno, CA 937273812

Telephone 8665928129
Organization at the Same NPPES Address or Phone
Western Dental Services, Inc. Facility NPI 1861556367

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fresno and California

263 active clinicians are listed under Dentist - General Practice with a practice address in Fresno, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

0% of these 263 clinicians have the CMS telehealth indicator.

0% of these 263 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 108189

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Md Rahman

Dentist

NPI 1386428324
NPI 1205596186

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 09, 2023

Registered at 4901 E KINGS CANYON RD, FRESNO, CA 937273812 (Tel: 8665928129)

πŸ“
Updated Business Mailing Address January 09, 2023

Registered at 4901 E KINGS CANYON RD, FRESNO, CA 937273812 (Tel: 8665928129)

βœ…
NPI Profile Active December 13, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 13, 2022

Registered at 1255 W SHIELDS AVE, FRESNO, CA 937053938 (Tel: 5594901326)

πŸ“
Business Mailing Address (Initial Record) December 13, 2022

Registered at 1164 E PERRIN AVE # 296, FRESNO, CA 937204224 (Tel: 5596297684)

πŸ‘€
Provider Name / Credentials (Initial Record) December 13, 2022

Recorded as QUINCY SOFOWORA, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2022

Dentist (license number reported to NPPES: CA 108189)

🟒
Initial NPI Registration & Enumeration December 13, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013629740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2022
Last Update: January 09, 2023
Sole Proprietor: No

Other Dentist - General Practices in Fresno

All Dentist - General Practices in Fresno

Mailing Address

4901 E Kings Canyon Rd

Fresno, CA 937273812

Phone: 8665928129

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.