Organization Active NPI

Farzaneh Keshmiri DDS PA

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1336107291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FARZANEH KESHMIRI DDS PA
Practice address
5641 Poplar Tent Rd
Ste 203
Concord, NC 28027
Phone
(704) 793-4211
Fax
(704) 793-4210
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farzaneh Keshmiri, DDSNPI 1821021916
Title
President
Phone
(704) 793-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5641 Poplar Tent Rd
Ste 203
Concord, NC 28027

Mailing address

5641 Poplar Tent Rd
Ste 203
Concord, NC 28027
Phone (704) 793-4211

National Provider Directory

National Provider Directory

Locations

5641 Poplar Tent Rd
Ste 203
Concord, NC 28027
Phone (704) 793-4211

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336107291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD",
            "address_2": "STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-793-4211",
            "fax_number": "704-793-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD",
            "address_2": "STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-793-4211",
            "fax_number": "704-793-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZANEH KESHMIRI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESHMIRI",
        "authorized_official_first_name": "FARZANEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-793-4211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.