Farah Yasmeen Fnu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015326 Issued in GA

Practice address

166 Crossroads Blvd Ste 100
Dawsonville, GA 30534-7868

Phone

(706) 265-3191

NPI assigned

Feb 16, 2016

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

Electronic endpoints 1

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1053770321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CROSSROADS BLVD STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347868",
            "telephone_number": "706-265-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FNU",
        "first_name": "FARAH YASMEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.aspendental.com/dentist/ga/dawsonville/166-crossroads-blvd-ste-100?utm_source=googleplac",
            "affiliation": "Y",
            "affiliationName": "Ark Dental LLC",
            "address_1": "166 Crossroads Blvd Ste 100",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305347868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.