Individual provider Active NPI

Ryan Farshid, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1427782374
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27138 Issued in FL
Practice address
1100 N Alafaya TRL Ste 160
Orlando, FL 32828-5966
Phone
(407) 485-6359
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27138 FL Primary
Dentist 122300000X 108113 CA

Addresses

Primary practice location

1100 N Alafaya TRL Ste 160
Orlando, FL 32828-5966

Mailing address

1100 N Alafaya TRL Ste 160
Orlando, FL 32828-5966

Other practice location 1

13602 San Antonio Dr
Norwalk, CA 90650-4029
Phone (407) 485-6359

Other practice location 2

8990 Garfield St Ste 4
Riverside, CA 92503-3922
Phone (407) 485-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230120002418 CA Order and Referring Only - DentistPractitioner - Dentist 1153792502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN27138FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1427782374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N ALAFAYA TRL STE 160",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ALAFAYA TRL STE 160",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285966",
            "telephone_number": "407-485-6359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13602 San Antonio Dr",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906504029",
            "country_code": "US",
            "telephone_number": "407-485-6359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8990 Garfield St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033922",
            "country_code": "US",
            "telephone_number": "407-485-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARSHID",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27138",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.