Ammar F Farra DMD PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

19055 Issued in MA

Legal business name

AMMAR F FARRA DMD PC

Practice address

6 Albion St
Wakefield, MA 01880-2802

Phone

(781) 245-1955

Fax

(781) 245-0186

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ammar F Farra, DMDNPI 1326052655

Title

Owner/Dentist

Phone

(781) 245-1955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ammar F Farra, DMD PC

  • Prosthodontics
  • Wakefield, MA
  • NPI 1326052655
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1376731133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ALBION ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802802",
            "telephone_number": "781-245-1955",
            "fax_number": "781-245-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ALBION ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802802",
            "telephone_number": "781-245-1955",
            "fax_number": "781-245-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMAR F FARRA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "FARRA",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "781-245-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "19055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X11872",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.