Active NPI
Farhad Eslamboltchi, DMD MS
- Periodontics
- Arlington, TX
National Provider Identifier
1083741268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 19247
- Practice address
- 800 W Arbrook Blvd
Suite 360
Arlington, TX 76015 - Phone
- (817) 467-7731
- Fax
- (817) 472-6393
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 19247 | TX | Primary |
Addresses
Primary practice location
800 W Arbrook Blvd
Suite 360
Arlington, TX 76015
Mailing address
800 W Arbrook Blvd
Suite 360
Arlington, TX 76015
Phone (817) 467-7731
Other names 1
- Farhad E Boltchi
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19247 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083741268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W ARBROOK BLVD",
"address_2": "SUITE 360",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76015",
"telephone_number": "817-467-7731",
"fax_number": "817-472-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W ARBROOK BLVD",
"address_2": "SUITE 360",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76015",
"telephone_number": "817-467-7731",
"fax_number": "817-472-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESLAMBOLTCHI",
"first_name": "FARHAD",
"name_prefix": "Dr.",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "19247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FARHAD",
"last_name": "BOLTCHI",
"middle_name": "E",
"credential": "DMD MS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.