Individual provider Active NPI

Amy Taborn Farrar, D.D.S.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1235333014
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8413 Issued in NC
Practice address
7010 NC Highway 751
Suite 103
Durham, NC 27707-5733
Phone
(919) 973-5696
NPI assigned
Jun 13, 2007
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 8413 NC Primary

Addresses

Primary practice location

7010 NC Highway 751
Suite 103
Durham, NC 27707-5733

Mailing address

2308 Southern Dr
Durham, NC 27703-6001
Phone (919) 308-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161205002018 NC Order and Referring Only - DentistPractitioner - Dentist 4385924588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8413NCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy T Farrar DDS PLLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

7010 NC Highway 751
Ste 103
Durham, NC 27707
Phone (919) 973-5696

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1235333014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SOUTHERN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036001",
            "telephone_number": "919-308-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 NC HIGHWAY 751",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075733",
            "telephone_number": "919-973-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "AMY",
        "middle_name": "TABORN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.