Organization Active NPI

Corey S. Farber, PLLC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1396095824
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019348 Issued in MI
Legal business name
COREY S. FARBER, PLLC
Practice address
23919 Ford Road
Dearborn, MI 48128
Phone
(313) 562-5611
Fax
(313) 562-1507
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Corey S Farber, D.D.S.
Title
President
Phone
(313) 562-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901019348 MI Primary

Addresses

Primary practice location

23919 Ford Road
Dearborn, MI 48128

Mailing address

23919 Ford Road
Dearborn, MI 48128
Phone (313) 562-5611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1396095824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23919 FORD ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48128",
            "telephone_number": "313-562-5611",
            "fax_number": "313-562-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23919 FORD ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48128",
            "telephone_number": "313-562-5611",
            "fax_number": "313-562-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY S. FARBER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-562-5611",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.