Individual provider Active NPI

Farah N Bennett, DDS

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1316374416
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62873 Issued in CA
Practice address
424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492
Phone
(650) 772-5642
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62873 CA Primary

Addresses

Primary practice location

424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492

Mailing address

424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492
Phone (650) 772-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160129000395 CA Order and Referring Only - DentistPractitioner - Dentist 7214230937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1316374416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-772-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-772-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "FARAH",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.