Individual provider Active NPI

Ammar F Farra, DMD PC

  • Prosthodontics
  • Wakefield, MA
National Provider Identifier
1326052655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
19055 Issued in MA
Practice address
6 Albion St
Wakefield, MA 01880-2802
Phone
(781) 245-1955
Fax
(781) 245-0186
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 19055 MA Primary

Addresses

Primary practice location

6 Albion St
Wakefield, MA 01880-2802

Mailing address

6 Albion St
Wakefield, MA 01880-2802
Phone (781) 245-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151120002394 MA Order and Referring Only - DentistPractitioner - Dentist 2365742467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19055MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar F Farra DMD PC Prosthodontics Past Accepting new patients

Organizations & group practices 1

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": "1183852800000",
    "number": "1326052655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ALBION ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802802",
            "telephone_number": "781-245-1955",
            "fax_number": "781-245-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ALBION ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802802",
            "telephone_number": "781-245-1955",
            "fax_number": "781-245-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRA",
        "first_name": "AMMAR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "19055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.