Organization Active NPI

Farzad Firouzian DDS PA

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1386731305
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19415 Issued in OH
Legal business name
FARZAD FIROUZIAN DDS PA
Practice address
1 E Campus View Blvd
Columbus, OH 43235-5691
Phone
(614) 848-5001
Fax
(614) 848-5003
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Dr. Farzad Michael Firouzian, DDS, M.A., F.A.G.D.
Title
Dentist
Phone
(614) 848-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19415 OH Primary

Addresses

Primary practice location

1 E Campus View Blvd
Columbus, OH 43235-5691

Mailing address

1 East Campus View Blvd
Columbus, OH 43235
Phone (614) 848-5001

Other names 1

  • Center for Family & Cosmetic Dentistry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180719002932 OH DME Supplier - Oral Surgery - Dentist 7416204573 Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

1 E Campus View Blvd
Columbus, OH 43235
Phone (614) 310-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1386731305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAST CAMPUS VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-848-5001",
            "fax_number": "614-848-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CAMPUS VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355691",
            "telephone_number": "614-848-5001",
            "fax_number": "614-848-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZAD FIROUZIAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "FIROUZIAN",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-848-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, M.A., F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Family & Cosmetic Dentistry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Center for Family & Cosmetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.