Active NPI
Steven Lee Farnsworth, DDS, PHD
- Dental Anesthesiology
- Surprise, AZ
National Provider Identifier
1194231969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 1223D0004X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1223D0004X | AZ | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Dentists of Surprise and Orthodontics, LLP | Dentist | Current | 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.
-
- Dentist
- Surprise, AZ
- NPI 1508410887
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.