Individual provider Active NPI

Fady George Farid, DDS

  • Dentist
  • Hermitage, TN
National Provider Identifier
1447741251
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10788 Issued in TN
Practice address
4054 Lebanon Pike
Hermitage, TN 37076
Phone
(615) 482-1789
NPI assigned
May 29, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10788 TN Primary

Addresses

Primary practice location

4054 Lebanon Pike
Hermitage, TN 37076

Mailing address

5004 Singing Hills Dr
Antioch, TN 37013-5647
Phone (615) 482-1789

Other practice location 1

5004 Singing Hills Dr
Antioch, TN 37013-5647
Phone (615) 482-1789

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10788TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Dental PLLC CurrentSince Apr 16, 2023 Accepting new patients

Locations

2374 N Main St
Crossville, TN 38555
Phone (615) 482-1789

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1447741251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 SINGING HILLS DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135647",
            "telephone_number": "615-482-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-482-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5004 Singing Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370135647",
            "country_code": "US",
            "telephone_number": "615-482-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARID",
        "first_name": "FADY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.