NPIMap

Organization Active NPI

R Keith Farr DDS LLC

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1124672548
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
R KEITH FARR DDS LLC
Practice address
4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Phone
(480) 834-8035
Fax
(480) 833-5378
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Ronald Keith Farr, DDS
Title
Owner
Phone
(480) 834-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616

Mailing address

4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Phone (480) 834-8035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1124672548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-834-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-834-8035",
            "fax_number": "480-833-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R KEITH FARR DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-834-8035",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.