Faye Hakimi Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

51930 Issued in CA

Legal business name

FAYE HAKIMI DENTAL

Practice address

920 Northgate Dr
San Rafael, CA 94903-3429

Phone

(415) 479-4640

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Groff, DDS

Title

Associate

Phone

(415) 479-4640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Richard Canihan, D.D.S.

  • Pediatric Dentistry
  • San Rafael, CA
  • NPI 1063848919
  NPD (past)

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1255769493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NORTHGATE BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NORTHGATE DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033429",
            "telephone_number": "415-479-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYE HAKIMI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "415-479-4640",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Dannean Farris, L.C.S.W.
• Neda Farrokhnia
• Betsy Graziani Fasbinder, CALIFORNIA MFT
• Amy Louise Faulstich
• Joel Fay, PSYD
• Gary Fedoroff
• Andrea H. Feeback-Lee, MD
• Catherine S Fehrmann, MD
• Shirley Feng, PHARMD
• Teresa Fennelly, LCSW

• Dental Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.