Active NPI
Farahnaz Fahimipour
- Periodontics
- Birmingham, AL
National Provider Identifier
1255985016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 151257
- Practice address
- 1919 7TH Ave S RM 412
Birmingham, AL 35233-2005 - Phone
- (262) 323-3556
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 151257 | NC | Primary |
Addresses
Primary practice location
1919 7TH Ave S RM 412
Birmingham, AL 35233-2005
Mailing address
1919 7TH Avenue South Room 412
Birmingham, AL 35294-0007
Phone (262) 323-3556
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151257 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1255985016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 7TH AVENUE SOUTH ROOM 412",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940007",
"telephone_number": "262-323-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 7TH AVE S RM 412",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332005",
"telephone_number": "262-323-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHIMIPOUR",
"first_name": "FARAHNAZ",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "151257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.