Individual provider Active NPI

Farshid Sanavi, D.M.D., PH.D.

  • Periodontics
  • Elkins Park, PA
National Provider Identifier
1356469043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS025774L Issued in PA
Practice address
7814 Old York Rd
Elkins Park, PA 19027-2509
Phone
(215) 635-6700
Fax
(215) 635-1816
NPI assigned
Mar 27, 2007
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
Periodontics 1223P0300X DS025774L PA Primary

Addresses

Primary practice location

7814 Old York Rd
Elkins Park, PA 19027-2509

Mailing address

7814 Old York Rd
Elkins Park, PA 19027-2509
Phone (215) 635-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150624000215 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880905488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DS025774LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356469043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272509",
            "telephone_number": "215-635-6700",
            "fax_number": "215-635-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272509",
            "telephone_number": "215-635-6700",
            "fax_number": "215-635-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAVI",
        "first_name": "FARSHID",
        "credential": "D.M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS025774L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.