Active NPI
Sheila Marie Farahani, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1013220086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31694
- Practice address
- 15613 Bel Red Rd
Building B, Suite C
Bellevue, WA 98008 - Phone
- (425) 869-7560
- Fax
- (425) 869-7699
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60168215 | WA | |
| Dentist | 122300000X | 59570 | CA | |
| Dentist | 122300000X | 31694 | TX | Primary |
Addresses
Primary practice location
15613 Bel Red Rd
Building B, Suite C
Bellevue, WA 98008
Mailing address
3818 Spicewood Springs Rd Ste 100
Austin, TX 78759-8969
Phone (206) 293-7915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31694 | TX | MD | Dentist |
| DE60168215 | WA | MD | Dentist |
| 59570 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1013220086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 SPICEWOOD SPRINGS RD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598969",
"telephone_number": "206-293-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15613 BEL RED RD",
"address_2": "BUILDING B, SUITE C",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98008",
"telephone_number": "425-869-7560",
"fax_number": "425-869-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHANI",
"first_name": "SHEILA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60168215",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59570",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.