Active NPI
William L Farr, DDS
- General Practice Dentistry
- Rocky River, OH
National Provider Identifier
1134297013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19541
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341760741 | Other | OH | TAX ID |
| 846191 | Other | OH | UNITED CONCORDIA PROVIDER |
| 341760741001 | Other | OH | MEDICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19541 | OH | MD | General 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.