Individual provider Active NPI

William L Farr, DDS

  • General Practice Dentistry
  • Rocky River, OH
National Provider Identifier
1134297013
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19541 Issued in OH
Practice address
21851 Center Ridge Rd Ste 506
Rocky River, OH 44116-3901
Phone
(440) 331-3211
Fax
(440) 331-3399
NPI assigned
Dec 1, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 19541 OH Primary

Addresses

Primary practice location

21851 Center Ridge Rd Ste 506
Rocky River, OH 44116-3901

Mailing address

21851 Center Ridge Rd Ste 506
Rocky River, OH 44116-3901
Phone (440) 331-3211

Other identifiers 3

IdentifierTypeStateIssuer
341760741OtherOHTAX ID
846191OtherOHUNITED CONCORDIA PROVIDER
341760741001OtherOHMEDICAL MUTUAL ID

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19541OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1134297013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD STE 506",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163901",
            "telephone_number": "440-331-3211",
            "fax_number": "440-331-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD STE 506",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163901",
            "telephone_number": "440-331-3211",
            "fax_number": "440-331-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341760741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "846191",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL ID",
            "identifier": "341760741001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.