DR. JACK CHARLES OHANESIAN DDS
NPI 1285986505
Dentist in Fresno, CA

Active since October 10, 2012PECOS Enrolled
1879 E FIR AVE STE 101, FRESNO, CA 93720(559) 322-6060(559) 322-7888 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Charles Ohanesian Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK CHARLES OHANESIAN DDS (NPI 1285986505) is an individual dentist in Fresno, California, licensed in California (61812) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285986505
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK CHARLES OHANESIANCredential: DDS
Location Address1879 E FIR AVE STE 101Fresno, CA 93720-3861
Mailing Address1221 S Clovis AveFresno, CA 93727-5316 · (559) 213-0932
Fax(559) 322-7888
Sole ProprietorYes
Enumeration DateOctober 10, 2012
NPI 1285986505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 61812
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1879 E FIR AVE STE 101, Fresno, CA 93720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jack Charles Ohanesian Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1879 E FIR AVE STE 101
FRESNO, CA 93720
Dentist (General Practice)
1879 E FIR AVE STE 101
FRESNO, CA 93720
Dentist
1879 E FIR AVE STE 101
FRESNO, CA 93720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Ohanesian's NPI number?

The NPI number for Jack Ohanesian is 1285986505. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Jack Ohanesian located?

Jack Ohanesian practices at 1879 E Fir Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 322-6060.

What is Jack Ohanesian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jack Ohanesian enrolled in Medicare?

Yes. Jack Ohanesian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Ohanesian was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.