Active NPI
Zakaria Farah
- Driver
- Chaska, MN
National Provider Identifier
1376304832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- F000-078975-100
- Practice address
- 1108 Village Rd
Chaska, MN 55318-1361 - Phone
- (651) 318-5453
- NPI assigned
- Jan 22, 2024
- Last updated
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F000-078975-100 | MN | Primary |
Addresses
Primary practice location
1108 Village Rd
Chaska, MN 55318-1361
Mailing address
2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
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
| License | State | Type | Specialty |
|---|---|---|---|
| F000-078975-100 | MN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1376304832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E ENTERPRISE AVE STE 333",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 VILLAGE RD",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181361",
"telephone_number": "651-318-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "ZAKARIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MN",
"license": "F000-078975-100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.