Active NPI
Dana A Fahey, DMD
- Dentist
- Fort Lauderdale, FL
National Provider Identifier
1265617617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12687
- Practice address
- 900 NE 26TH Avenue
2ND Floor
Fort Lauderdale, FL 33304 - Phone
- (954) 566-4208
- Fax
- (954) 566-5346
- NPI assigned
- Jan 4, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12687 | FL | Primary |
Addresses
Primary practice location
900 NE 26TH Avenue
2ND Floor
Fort Lauderdale, FL 33304
Mailing address
900 NE 26TH Avenue
2ND Floor
Fort Lauderdale, FL 33304
Phone (954) 566-4208
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 |
|---|---|---|---|
| 12687 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1265617617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NE 26TH AVENUE",
"address_2": "2ND FLOOR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33304",
"telephone_number": "954-566-4208",
"fax_number": "954-566-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE 26TH AVENUE",
"address_2": "2ND FLOOR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33304",
"telephone_number": "954-566-4208",
"fax_number": "954-566-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "DANA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "12687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.