Shabnam Sherry Farrar, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

34180 Issued in TX

Practice address

4807 183A Toll Rd Ste 100
Cedar Park, TX 78613-7872

Phone

(512) 690-2211

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shabnam Eslamfam Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1144715129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 183A TOLL RD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137872",
            "telephone_number": "512-690-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 183A TOLL RD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137872",
            "telephone_number": "512-690-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "SHABNAM",
        "middle_name": "SHERRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34180",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHABNAM",
            "last_name": "ESLAMFAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Health Care Group PLLC
• Hong Fan, L.AC
• Coral Fantasia, MSW, LCSW
• Jennifer Anne Fanuzzi, R.N.
• Taylor Jane Farmer, BCBA
• Maggie Kathleen Farrell, RD
• Michael Jay Farst, DDS
• Rebecca Faulkner, MT-BC
• Amanda Kathleen Fearheiley, R.D., L.D.
• Mary Feger, SLPA

• Dentist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.