Michael Rex Favero, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30339 Issued in CA

Practice address

2237 Park Towne Circle
Sacramento, CA 95825-0417

Phone

(916) 487-9100

Fax

(916) 488-6757

NPI assigned

Jul 21, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215958608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 PARK TOWNE CIRCLE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250417",
            "telephone_number": "916-487-9100",
            "fax_number": "916-488-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 PARK TOWNE CIRCLE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250417",
            "telephone_number": "916-487-9100",
            "fax_number": "916-488-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVERO",
        "first_name": "MICHAEL",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valencia Isabella Faux
• Tara Lynn Favis, NP-C
• Kayla Favor
• Rakan Ahmad Fawakhiri, DMD
• Fay Nazari, DDS, PC
• Faye George

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• 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.