Individual provider Active NPI

Mary M Farshidpour, DMD

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1326294125
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57437 Issued in CA
Practice address
26071 Ramjit CT
Lake Forest, CA 92630-5536
Phone
(949) 683-7721
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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 57437 CA Primary

Addresses

Primary practice location

26071 Ramjit CT
Lake Forest, CA 92630-5536

Mailing address

26071 Ramjit CT
Lake Forest, CA 92630-5536
Phone (949) 683-7721

Other names 1

  • Ms. Mary M Farshidpour Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57437CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M Farshidpour DDS Inc Current Accepting new patients

Locations

1334 W 1st St
Santa Ana, CA 92703
Phone (714) 541-0837

Interoperability endpoints

  • Direct secure messaging: mfarshidpour@direct.westerndental.com

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1326294125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26071 RAMJIT CT",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305536",
            "telephone_number": "949-683-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26071 RAMJIT CT",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305536",
            "telephone_number": "949-683-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSHIDPOUR",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FARSHIDPOUR",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.