Active NPI
Alan George Farman, BDS, DSC
- Oral and Maxillofacial Radiology Dentistry
- Louisville, KY
National Provider Identifier
1124041595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 757
- Practice address
- 501 S Preston St
Louisville, KY 40292-0001 - Phone
- (502) 852-5128
- Fax
- (502) 852-7163
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 757 | KY | Primary |
Addresses
Primary practice location
501 S Preston St
Louisville, KY 40292-0001
Mailing address
501 S. Preston Street
Louisville, KY 40292
Phone (502) 852-5128
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60062031 | Medicaid | KY | |
| 9179431 | Other | KY | DORAL DENTAL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124041595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S. PRESTON STREET",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40292",
"telephone_number": "502-852-5128",
"fax_number": "502-852-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402920001",
"telephone_number": "502-852-5128",
"fax_number": "502-852-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMAN",
"first_name": "ALAN",
"middle_name": "GEORGE",
"credential": "BDS, DSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "KY",
"license": "757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60062031",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL",
"identifier": "9179431",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.