Khalifa Sady Farroukh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112394 Issued in CA

Practice address

1715 Borbeck Ave FL Ae2
2ND FL
Philadelphia, PA 19111-3514

Phone

(215) 554-5155

NPI assigned

Sep 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1013880798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BORBECK AVE FL AE2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113514",
            "telephone_number": "215-554-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BORBECK AVE FL AE2",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113514",
            "telephone_number": "215-554-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROUKH",
        "first_name": "KHALIFA",
        "middle_name": "SADY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thais Colleen Farrell, LPC
• Thomas Farrell, PA-C
• Cormac Farrelly, MD
• Grace Bernadette Farrelly, OT/L
• Thomas R Farrelly, LCSW
• Anthony Logan Farrow
• Monique R. Farrow, MD
• Yasmeen Faruq
• Donald Gregory Farwell, M.D.
• Michael D Farwell, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.