Individual provider Active NPI

Cynthia Dawn Farrar, M.D.

  • Adult Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1427097575
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
108380 Issued in MO
Practice address
3302 S Belt Hwy
Saint Joseph, MO 64503-1534
Phone
(800) 952-8387
Fax
(913) 946-1699
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 108380 MO
Adult Medicine Physician 207QA0505X 108380 MO Primary

Addresses

Primary practice location

3302 S Belt Hwy
Saint Joseph, MO 64503-1534

Mailing address

3302 S Belt Hwy
Saint Joseph, MO 64503-1534
Phone (800) 952-8387

Other practice location 1

1301 S. Belt Hwy
St Joe Urgent Care
St. Joseph, MO 64507
Phone (816) 279-4100

Other identifiers 4

IdentifierTypeStateIssuer
208482117MedicaidMO
108380OtherMOSTATE MEDICAL LICENSE
20411OtherMOBNDD
080191162OtherMORR MEDICARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108380MOMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427097575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645031534",
            "telephone_number": "800-952-8387",
            "fax_number": "913-946-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645031534",
            "telephone_number": "800-952-8387",
            "fax_number": "913-946-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S. Belt Hwy",
            "address_2": "St Joe Urgent Care",
            "address_purpose": "LOCATION",
            "city": "St. Joseph",
            "state": "MO",
            "postal_code": "64507",
            "country_code": "US",
            "telephone_number": "816-279-4100",
            "fax_number": "816-279-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "108380",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "108380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208482117",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "108380",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "20411",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080191162",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.