Dua Farhoud, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7062 Issued in LA

Practice address

931 Westwood Dr
Marrero, LA 70072-2400

Phone

(504) 272-2756

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1205451788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 HUCKLEBERRY LN",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700565225",
            "telephone_number": "504-875-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WESTWOOD DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722400",
            "telephone_number": "504-272-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHOUD",
        "first_name": "DUA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabre Family Dental Care of Metairie, L.L.C
• Keith Joseph Fabre Jr., D.D.S.
• Erin Fairchild
• Andrea Lynn Falgout-Cheramie
• Lindsay York Fantaci, MD
• Kenneth Barton Farris, MD
• Adil Aryaman Fatakia, M.D.
• Susan Felix
• Alicia Aguiar Fernandez, PHARMD
• Malinda Ferrell, NNP

• General Practice Dentistry in Marrero, LA
• Providers in Marrero, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.