Individual provider Active NPI

Fakhira Nafees, DMD

  • General Practice Dentistry
  • Salisbury, MD
National Provider Identifier
1083055511
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15437 Issued in MD
Practice address
1235 Pemberton Dr
Salisbury, MD 21801-2403
Phone
(410) 341-0308
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15437 MD Primary

Addresses

Primary practice location

1235 Pemberton Dr
Salisbury, MD 21801-2403

Mailing address

1235 Pemberton Dr
Salisbury, MD 21801-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160622002528 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5890086813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15437MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Fakhira Nafees DMD PA General Practice Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1083055511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PEMBERTON DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PEMBERTON DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012403",
            "telephone_number": "410-341-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFEES",
        "first_name": "FAKHIRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.