Individual provider Active NPI

Marko Roman Farian, DDS

  • Dentist
  • Macedonia, OH
National Provider Identifier
1144305608
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30021589 Issued in OH
Practice address
503 E Aurora Road
Macedonia, OH 44056
Phone
(330) 468-0980
Fax
(330) 468-2181
NPI assigned
Oct 25, 2006
Last updated
Feb 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30021589 OH Primary

Addresses

Primary practice location

503 E Aurora Road
Macedonia, OH 44056

Mailing address

503 E Aurora Road
Macedonia, OH 44056
Phone (330) 468-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503002683 OH Order and Referring Only - DentistPractitioner - Dentist 7517266125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30021589OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1144305608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E AURORA ROAD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "44056",
            "telephone_number": "330-468-0980",
            "fax_number": "330-468-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E AURORA ROAD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "44056",
            "telephone_number": "330-468-0980",
            "fax_number": "330-468-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAN",
        "first_name": "MARKO",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

Verify at the official NPI Registry.