Active NPI
Fady George Farid, DDS
- Dentist
- Hermitage, TN
National Provider Identifier
1447741251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10788
- Practice address
- 4054 Lebanon Pike
Hermitage, TN 37076 - Phone
- (615) 482-1789
- NPI assigned
- May 29, 2018
- Last updated
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10788 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Dental PLLC | Current | 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.
-
- General Practice Dentistry
- Crossville, TN
- NPI 1588350896
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
- Elizabeth Heather Fairbank, MD
- Oluyemi Bridget Falaiye, DMD
- Fall Fighters, LLC (FYZICAL Therapy and Balance Centers)
- Bridget J Faloon, MS BCBA
- Family 1St Clinic (Family 1st Clinic PLLC)
- Noelle Elizabeth Farley
- Maria Paula Fedler, D.D.S
- Tiffany Feltman Meals, D.O.
- Stephen K. Felts, M.D.
- William Brent Fetzer, D.C.
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.