Individual provider Active NPI

Paul S Farsai, DMD, MPH

  • General Practice Dentistry
  • Swampscott, MA
National Provider Identifier
1124192349
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18565 Issued in MA
Practice address
400 Humphrey St
Swampscott, MA 01907-2569
Phone
(617) 595-8100
Fax
(781) 595-8155
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18565 MA Primary

Addresses

Primary practice location

400 Humphrey St
Swampscott, MA 01907-2569

Mailing address

400 Humphrey St
Swampscott, MA 01907-2569
Phone (617) 595-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 4, 2016 through Feb 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18565MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul S. Farsai DMD, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1124192349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072569",
            "telephone_number": "617-595-8100",
            "fax_number": "781-595-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072569",
            "telephone_number": "617-595-8100",
            "fax_number": "781-595-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSAI",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.