Breana Monique Farris

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

16472 E 8 Mile Rd
Detroit, MI 48205-1517

Phone

(586) 522-9470

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1154972354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16472 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16472 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051517",
            "telephone_number": "586-522-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "BREANA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Farrell
• Elizabeth Jane Farren
• Rebecca Hunnicutt Farren, PNP
• Sydney Claire Farrington
• Darshana Farris-Anderson
• Farah Farris
• Kimberly Farrow
• Kimberly M Farrow, MD
• Jamie Lauren Farrugia, M.S., PA-C
• McKenzie Marie Farthing, DO

• Dental Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.