Farwa Jeddy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40849 Issued in TX

Practice address

2810 Nacogdoches Rd
San Antonio, TX 78217-5827

Phone

(210) 818-2810

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• R&J Dental, PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1588405260
  NPD
• Donna Clark-Hagy D.D.S. and Anthony J. Mitchell D.D.S.

  • Dentist
  • San Antonio, TX
  • NPI 1942328745
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1265132609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175827",
            "telephone_number": "210-828-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175827",
            "telephone_number": "210-818-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDDY",
        "first_name": "FARWA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie K. Harden, MD, PLLC
• Jeboc Inc
• Shadzi Jebraeili, DMD, MS, ORTHO CERT.
• Nichole Jebur, PTA
• Katherine Jechow, RD, LD
• Sue Jee, NURSE PRACTITIONER
• Archana Jeeji, MD
• Mahera Jeevanjee, PT
• Jeffco Management LLC
• Jeffco Management, LLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.