Farzad Moradi, DDS
Individual provider Active NPI General Practice Dentistry · Payette, ID
NPI 1033985668 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1033985668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7371794 (ID)
- Practice address
- 1501 NE 10TH Ave
Payette, ID 83661-5422 - Phone
- (208) 642-9379
- Fax
- (208) 642-5004
- NPI assigned
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7371794 | ID | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7371794 | ID | Yes |
Addresses
Primary practice location
1501 NE 10TH Ave
Payette, ID 83661-5422
Mailing address
1501 NE 10TH Ave
Payette, ID 83661-5422
Phone (208) 642-9379
Other providers in Payette, ID
- Sara Elizabeth Manzer
- Todd William Martinez
- Holly M May
- Jared Mayer
- James H Moore
- Natalie Linn Moss
- Move Mountains Pediatric Therapy LLC
- Erica Rose Moyer
- Shirley Murata
- Tara Lee North
All providers in Payette, ID · General Practice Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.