Syed Ali Raza Fahim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042183 Issued in PA

Practice address

351 W Schuylkill Rd Ste G15A
Pottstown, PA 19465-7438

Phone

(484) 948-3097

NPI assigned

Jun 14, 2018

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: syed.fahim.p1@direct.chdc.nextgenshare.com

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.

• Community Health and Dental Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Pottstown, PA
  • NPI 1295994341
  Medicare reassignment NPD
• Community Health and Dental Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Boyertown, PA
  • NPI 1548034663
  NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1114410065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WATERLOO BLVD UNIT 502",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412676",
            "telephone_number": "973-747-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438",
            "telephone_number": "484-948-3097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Stony Brook School of Dental Medicine",
            "address_2": "151 Westchester Hall",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "11794",
            "country_code": "US",
            "telephone_number": "631-444-2557",
            "fax_number": "631-444-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHIM",
        "first_name": "SYED",
        "middle_name": "ALI RAZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042183",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D Trevor Evans, MS
• Lisa Evans
• Jennifer Marie Every
• Eye Consultants of Pennsylvania, PC
• Chidinma Ezeonu
• Josephine Renee Faison
• Briana Falbo, DMD
• Morgan Lindsay Fanning
• Christina M Farrell, DPM
• Erin Louise Farrugia

• General Practice Dentistry in Pottstown, PA
• Providers in Pottstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.