Fouad N Farhat, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00008754 Issued in WA

Practice address

15515 3Rd Ave SW Ste D
Burien, WA 98166-2553

Phone

(206) 244-1410

Fax

(206) 244-9127

NPI assigned

Nov 17, 2005

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 12, 2017 through Jun 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fouad Farhat DDS MSD PLLC

  • Periodontics
  • Burien, WA
  • NPI 1386916898
  NPD (past) Authorized official
• Daniel S. Friedman, DDS,PS

  • Periodontics
  • Burien, WA
  • NPI 1598846107
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1235111972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW STE D",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-244-1410",
            "fax_number": "206-244-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW STE D",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-244-1410",
            "fax_number": "206-244-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "FOUAD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00008754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariella Faasch
• Erin Falcone, CTRS
• Angelica Falsis
• Family Physicians General Clinic
• Marina Farah, MD
• Nicholas Farkas, LMHC
• Janet Farmer
• Asia Farole, DOULA
• Faduma Abukar Farole, CERTIFIED DOULA
• Alicia R Farrell, PA-C

• Periodontics in Burien, WA
• Providers in Burien, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.