Individual provider Active NPI

Farhad Sharifi

  • Dentist
  • Mesa, AZ
National Provider Identifier
1083067599
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009515 Issued in AZ
Practice address
1941 S Pierpont Dr
Unit 2046
Mesa, AZ 85206
Phone
(858) 444-7391
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009515 AZ Primary

Addresses

Primary practice location

1941 S Pierpont Dr
Unit 2046
Mesa, AZ 85206

Mailing address

1941 S Pierpont Dr
Unit 2046
Mesa, AZ 85206
Phone (858) 444-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009515AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sdcaz LLC PastSince Apr 6, 2025 Accepting new patients
Cute Smiles 4 Kids Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1083067599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S PIERPONT DR",
            "address_2": "UNIT 2046",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "858-444-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S PIERPONT DR",
            "address_2": "UNIT 2046",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "858-444-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFI",
        "first_name": "FARHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.