Individual provider Active NPI

Benjamin H. Farr, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashua, NH
National Provider Identifier
1174968549
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN1858223 Issued in MA
Practice address
39 Simon Street
Unit 11-13
Nashua, NH 03060
Phone
(063) 883-4008
Fax
(603) 881-3822
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 016.0133894 VT
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 04481 NH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN1858223 MA Primary

Addresses

Primary practice location

39 Simon Street
Unit 11-13
Nashua, NH 03060

Mailing address

39 Simon Street
Unit 11-13
Nashua, NH 03060
Phone (063) 883-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2022 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN1858223MAMDOral & Maxillofacial Surgery (D.M.D.)
016.0133894VTMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Oral and Maxillofacial Surgery, PC Oral and Maxillofacial Surgery Past Accepting new patients
Connecticut Valley Oral Surgery Associates, PC Oral & Maxillofacial Surgery PastSince Jul 29, 2019 Accepting new patients
Apex Oral Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1174968549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON STREET",
            "address_2": "UNIT 11-13",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "063-883-4008",
            "fax_number": "603-881-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON STREET",
            "address_2": "UNIT 11-13",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "063-883-4008",
            "fax_number": "603-881-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "BENJAMIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VT",
            "license": "016.0133894",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NH",
            "license": "04481",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1858223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.