Farid Hakimzadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

045449 Issued in NY

Practice address

5847 Francis Lewis Blvd
Oakland Gardens, NY 11364-1601

Phone

(718) 224-7272

Fax

(718) 224-3841

NPI assigned

Oct 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215926084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-224-7272",
            "fax_number": "718-224-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-224-7272",
            "fax_number": "718-224-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMZADEH",
        "first_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherlin Haghnazari
• Haidatov Optometry PC (Oakland Gardens Eye Care)
• Kristina Haidatov, OD
• Ofer Haidatov, FNP
• Claire M. Haines, OTR/L
• Asim Hameedi
• Eunmi Han
• Joanne Han
• George Haralambou, M.D.
• Harghel Medical Office, PC

• Dentist in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Dentist in New York

• 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.
• 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.