Bita Farhoumand, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS61201 Issued in CA

Practice address

2487 Wellspring St
Carlsbad, CA 92010-5605

Phone

(703) 981-3185

NPI assigned

Sep 24, 2011

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avanti Specialty PLLC

  • General Practice Dentistry
  • Tysons Corner, VA
  • NPI 1215382262

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1104109289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 WELLSPRING ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105605",
            "telephone_number": "703-981-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 WELLSPRING ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105605",
            "telephone_number": "703-981-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHOUMAND",
        "first_name": "BITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412973",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS61201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Faling, LCSW
• Afshin A Fallah, DDS, FICCMO, AIAOMT
• Family First Speech Therapy
• Hanaah Fannin, PA-C
• Louis Mark Farace
• Pamela Guadalupe Farias Balderas
• Jolene Farish, LCSW
• Jolene Antoinette Farley, DPT
• Jordan Jacob Farnan
• William Benjamin Farnsworth, M.D.

• Periodontics in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.