Individual provider Active NPI

Benjamin Farnad, DDS

  • Dentist
  • Thousand Oaks, CA
National Provider Identifier
1346080801
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110366 Issued in CA
Practice address
1760 E Avenida de Los Arboles Ste a
Thousand Oaks, CA 91362-1392
Phone
(805) 493-5200
Fax
(805) 493-5205
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110366 CA Primary

Addresses

Primary practice location

1760 E Avenida de Los Arboles Ste a
Thousand Oaks, CA 91362-1392

Mailing address

4337 Clarinda Dr
Tarzana, CA 91356-5533
Phone (818) 693-2199

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
I20250808003323 CA Order and Referring Only - DentistPractitioner - Dentist 3870091879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lambridis Dental Corporation PastSince Jun 2, 2024 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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1346080801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 CLARINDA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565533",
            "telephone_number": "818-693-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E AVENIDA DE LOS ARBOLES STE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621392",
            "telephone_number": "805-493-5200",
            "fax_number": "805-493-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAD",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.