Individual provider Active NPI

Amana Farrkh, DDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1225425424
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-024621 Issued in OH
Practice address
8949 Antares Ave
Columbus, OH 43240-2012
Phone
(720) 401-3341
NPI assigned
Apr 25, 2015
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-024621 OH Primary

Addresses

Primary practice location

8949 Antares Ave
Columbus, OH 43240-2012

Mailing address

8949 Antares Ave
Columbus, OH 43240-2012
Phone (614) 808-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170323002595 OH Order and Referring Only - DentistPractitioner - Dentist 9537444013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024621OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Khyati Patel West Jeff Inc General Practice PastSince Jun 30, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1225425424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 ANTARES AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402012",
            "telephone_number": "614-808-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 ANTARES AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402012",
            "telephone_number": "720-401-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRKH",
        "first_name": "AMANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.