Individual provider Active NPI

John Farsakian, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westlake Village, CA
National Provider Identifier
1174688105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
17067 Issued in CA
Practice address
179 Auburn CT
Suite 5
Westlake Village, CA 91362-3618
Phone
(805) 496-4133
Fax
(805) 496-1185
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17067 CA Primary

Addresses

Primary practice location

179 Auburn CT
Suite 5
Westlake Village, CA 91362-3618

Mailing address

179 Auburn CT
Suite 5
Westlake Village, CA 91362-3618
Phone (805) 496-4133

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174688105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AUBURN CT",
            "address_2": "SUITE 5",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623618",
            "telephone_number": "805-496-4133",
            "fax_number": "805-496-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 AUBURN CT",
            "address_2": "SUITE 5",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623618",
            "telephone_number": "805-496-4133",
            "fax_number": "805-496-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSAKIAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.