Active NPI
Farnaz Mirian, DDS
- Dentist
- Rockingham, NC
National Provider Identifier
1215090204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6705
- Practice address
- 127 Caroline St
Rockingham, NC 28379-3567 - Phone
- (910) 417-4937
- Fax
- (910) 997-8336
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6705 | NC | Primary |
Addresses
Primary practice location
127 Caroline St
Rockingham, NC 28379-3567
Mailing address
5 Dogwood Ter Apt B
Pinehurst, NC 28374-8634
Phone (910) 215-0514
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6705 | NC | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215090204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOGWOOD TER APT B",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748634",
"telephone_number": "910-215-0514",
"fax_number": "910-997-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CAROLINE ST",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283793567",
"telephone_number": "910-417-4937",
"fax_number": "910-997-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRIAN",
"first_name": "FARNAZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
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.