Individual provider Active NPI

Natalie Farber

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1235200171
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30200653 Issued in OH
Practice address
28001 Chagrin Blvd Ste 203
28001 Chagrin Blvd. #203
Cleveland, OH 44122-4543
Phone
(216) 831-6822
Fax
(216) 831-0910
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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 30200653 OH Primary

Addresses

Primary practice location

28001 Chagrin Blvd Ste 203
28001 Chagrin Blvd. #203
Cleveland, OH 44122-4543

Mailing address

28001 Chagrin Blvd Ste 203
28001 Chagrin Blvd. #203
Cleveland, OH 44122-4543
Phone (216) 831-6822

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
I20171128003767 OH Order and Referring Only - DentistPractitioner - Dentist 0244362572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30200653OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1235200171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 CHAGRIN BLVD STE 203",
            "address_2": "28001 CHAGRIN BLVD. #203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224543",
            "telephone_number": "216-831-6822",
            "fax_number": "216-831-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 CHAGRIN BLVD STE 203",
            "address_2": "28001 CHAGRIN BLVD. #203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224543",
            "telephone_number": "216-831-6822",
            "fax_number": "216-831-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30200653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.