Individual provider Active NPI

Delaine Rose Farias, D.D.S.

  • Dentist
  • Corpus Christi, TX
National Provider Identifier
1376564096
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16422 Issued in TX
Practice address
7426 S Staples St Ste 101
Corpus Christi, TX 78413-5382
Phone
(361) 452-7267
Fax
(361) 992-6427
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16422 TX Primary

Addresses

Primary practice location

7426 S Staples St Ste 101
Corpus Christi, TX 78413-5382

Mailing address

6721 Earnhart
Corpus Christi, TX 78414-4171
Phone (361) 510-6796

Other names 1

  • Dr. Delaine Rose Farias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150701001825 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860704921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16422TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaine R Farias DDS PLLC Dentist PastSince Jan 2, 2015 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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1376564096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 EARNHART",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144171",
            "telephone_number": "361-510-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 S STAPLES ST STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135382",
            "telephone_number": "361-452-7267",
            "fax_number": "361-992-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "DELAINE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELAINE",
            "last_name": "FARIAS",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.