Shirin Sarmad Fakhri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901017930 Issued in MI

Practice address

2885 E Long Lake
Troy, MI 48085

Phone

(248) 879-4565

Fax

(248) 879-4515

NPI assigned

Oct 10, 2006

Last updated

Mar 9, 2012By the provider in NPPES

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shirin Fakhri D.D.S. P.C.

  • General Practice Dentistry
  • Troy, MI
  • NPI 1467999664
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1033207899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-879-4565",
            "fax_number": "248-879-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-879-4565",
            "fax_number": "248-879-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRI",
        "first_name": "SHIRIN",
        "middle_name": "SARMAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Diane Fadel, NP-C
• Fadi Assaf DDS VI PLLC
• Lauren Ann Fairchild
• Lisa Kay Fairchild, PHARMD, CDE
• Christine M Fakhouri
• Cathryn Cady Fall, OTRL
• Brooke Elizabeth Fallon, AUD CCC-A
• Ashley Danielle-Aveese Falls, LLBSW
• Family First Dental Care PC
• Family First Home Care LLC

• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.