David Nathaniel Fairbanks, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

D0001515 Issued in MD

Practice address

6600 Bradley Blvd.
Bethesda, MD 20817-3043

Phone

(301) 365-1264

Fax

(301) 365-5025

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. David Nathaniel Fox Fairbanks Other name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1124269766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 BRADLEY BLVD.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173043",
            "telephone_number": "301-365-1264",
            "fax_number": "301-365-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 BRADLEY BLVD.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173043",
            "telephone_number": "301-365-1264",
            "fax_number": "301-365-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "DAVID",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0001515",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD25514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "FAIRBANKS",
            "middle_name": "NATHANIEL FOX",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phyllis Laura Fagell, LCPC
• Raha Ida Fahimi, O.D.
• Michael William Fahlgren, M.D.
• Laura Failla, FNP-C
• Lauren Fain, RN, BSN, IBCLC
• Mary Linda Fairbanks, MD
• Bernice Ama Sewor Fairclough
• Mohammad Faisal
• Oluwapelumi Oyinkan Fakeye, MD
• Houda Fakhre, DMD

• Otolaryngology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.