Individual provider Active NPI

Steven Lee Farnsworth, DDS, PHD

  • Dental Anesthesiology
  • Surprise, AZ
National Provider Identifier
1194231969
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
1223D0004X Issued in AZ
Practice address
15180 N Cotton LN Ste 104
Surprise, AZ 85388-7000
Phone
(623) 214-6543
NPI assigned
Dec 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 1223D0004X AZ Primary

Addresses

Primary practice location

15180 N Cotton LN Ste 104
Surprise, AZ 85388-7000

Mailing address

649 N Ashbrook Cir
Mesa, AZ 85213-6714
Phone (210) 449-4125

Other names 1

  • Dr. Steven Lee Farnsworth Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1223D0004XAZMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Dentists of Surprise and Orthodontics, LLP Dentist CurrentSince Jan 26, 2025 Accepting new patients

Locations

15180 N Cotton Ln
Ste 104
Surprise, AZ 85388
Phone (623) 214-6543

Organizations & group practices 1

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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1194231969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N ASHBROOK CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136714",
            "telephone_number": "210-449-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15180 N COTTON LN STE 104",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887000",
            "telephone_number": "623-214-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "1223D0004X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "FARNSWORTH",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.