Active NPI
Farid Hanachi, DDS PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mooresville, NC
National Provider Identifier
1255457610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6116
- Practice address
- 367 Williamson Rd Ste 101
Mooresville, NC 28117-5945 - Phone
- (704) 662-0203
- Fax
- (704) 662-0355
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6116 | NC | Primary |
Addresses
Primary practice location
367 Williamson Rd Ste 101
Mooresville, NC 28117-5945
Mailing address
367 Williamson Rd Ste 101
Mooresville, NC 28117-5945
Phone (704) 662-0203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6116 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farid Hanachi DDS PA | Orthodontics and Dentofacial Orthopedics | Past | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gastonia, NC
- NPI 1013123777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1255457610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 WILLIAMSON RD STE 101",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175945",
"telephone_number": "704-662-0203",
"fax_number": "704-662-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 WILLIAMSON RD STE 101",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175945",
"telephone_number": "704-662-0203",
"fax_number": "704-662-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANACHI",
"first_name": "FARID",
"name_prefix": "Dr.",
"credential": "DDS PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "6116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Jaimee Lynn Halupa, LMHCA
- Michael W. Hamilton-Genson, NCC, LPCA
- Courtney Holley Hamilton, LCMHCS, LCAS, CCS
- Michelle A Hammerle
- Lucinda J. Hammond, MA, LPC
- Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
- Allison B Hanley, PA-C
- Colleen Rene Hannush, MSW, LCSW
- Elizabeth Corazzo Hansen, R.PH.
- Harbor Internal Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.