Individual provider Active NPI

Christopher Paul Farrugia, DDS

  • Dentist
  • Santa Rosa Beach, FL
National Provider Identifier
1275548141
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN9602 Issued in FL
Practice address
6757 US Highway 98 W Ste 301
Santa Rosa Beach, FL 32459-4780
Phone
(850) 622-5888
Fax
(850) 622-0072
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9677 GA
Dentist 122300000X DN9602 FL Primary

Addresses

Primary practice location

6757 US Highway 98 W Ste 301
Santa Rosa Beach, FL 32459-4780

Mailing address

6757 US Highway 98 W Ste 301
Santa Rosa Beach, FL 32459-4780
Phone (850) 622-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419001585 FL Order and Referring Only - DentistPractitioner - Dentist 3072811470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9677GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
TMJ & Sleep Center LLC Past Accepting new patients
Imaging Institute LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chrisdds@tascl-fl.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1275548141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 US HIGHWAY 98 W STE 301",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594780",
            "telephone_number": "850-622-5888",
            "fax_number": "850-622-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 US HIGHWAY 98 W STE 301",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594780",
            "telephone_number": "850-622-5888",
            "fax_number": "850-622-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRUGIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "9677",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.