Individual provider Active NPI

Farrah Agahi

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pflugerville, TX
National Provider Identifier
1144757873
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19179 Issued in TX
Practice address
302 N Heatherwilde Blvd Ste 430
Pflugerville, TX 78660-3674
Phone
(512) 872-2763
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19179 TX Primary

Addresses

Primary practice location

302 N Heatherwilde Blvd Ste 430
Pflugerville, TX 78660-3674

Mailing address

302 N Heatherwilde Blvd Ste 430
Pflugerville, TX 78660-3674

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
19179TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1144757873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HEATHERWILDE BLVD STE 430",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HEATHERWILDE BLVD STE 430",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603674",
            "telephone_number": "512-872-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHI",
        "first_name": "FARRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.