Farida J Somba, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013693A Issued in IN

Practice address

1528 Medical Arts Blvd
Anderson, IN 46011-3447

Phone

(765) 649-3388

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Braintree Dentistry and Braces PC

  • Dentist
  • Braintree, MA
  • NPI 1437784378
  NPD
• Garry L Smith DDS PC

  • General Practice Dentistry
  • Anderson, IN
  • NPI 1720155187

  General Practice

  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1104599588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113447",
            "telephone_number": "765-649-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113447",
            "telephone_number": "765-649-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMBA",
        "first_name": "FARIDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859140",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013693A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "braintree",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "292 Grove St",
            "city": "Braintree",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021847209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mattapan",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 River St",
            "city": "Mattapan",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021262975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Elizabeth Smith, FNP-C
• Sarah Smith
• Natalie-Briana Smithson
• Taylor Smock, BCBA
• Mayer Soliman
• David H Soper, MD
• Linda Soper, MD
• Alan Jerel Sosa, MD
• Sowers of Seeds Counseling
• Hayley Ah Spangler, LMHCA

• All providers in Anderson, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.