Krista M Farr, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6699 Issued in AZ

Practice address

2450 S White Mountain Rd Ste 1
Show Low, AZ 85901-7307

Phone

(928) 537-5953

Fax

(928) 537-5535

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

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.

• Dynamic Dentistry Az, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Show Low, AZ
  • NPI 1629628029
  NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1285789073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017307",
            "telephone_number": "928-537-5953",
            "fax_number": "928-537-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017307",
            "telephone_number": "928-537-5953",
            "fax_number": "928-537-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "KRISTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endo Associates
• Jeannie D Evans, D.O.
• Jessica Fain, PA-C
• Familyfirst Counseling & Behavioral Healthy Services, Inc.
• Fancy Anesthesia Services Inc
• Fawcett Chiropractic Inc
• David L Fawcett, D.C.
• Karen Ann Ferguson, PT
• Amanda D Fetzner
• Elizabeth J Finan, PT

• General Practice Dentistry in Show Low, AZ
• Providers in Show Low, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.