Active NPI
Sally A Farah, D.M.D.
- Prosthodontics
- Richmond, VA
National Provider Identifier
1295968931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401418732
- Practice address
- 520 N 12TH St # 301F
Richmond, VA 23298-5064 - Phone
- (804) 828-1777
- NPI assigned
- Aug 28, 2009
- Last updated
- Jun 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS103053 | CA | |
| Prosthodontics | 1223P0700X | 0401418732 | VA | Primary |
Addresses
Primary practice location
520 N 12TH St # 301F
Richmond, VA 23298-5064
Mailing address
5000 Libbie Mill East Blvd Apt 506
Richmond, VA 23230-2174
Phone (832) 655-9999
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103053 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1295968931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 LIBBIE MILL EAST BLVD APT 506",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232302174",
"telephone_number": "832-655-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 12TH ST # 301F",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985064",
"telephone_number": "804-828-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "SALLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103053",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401418732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.