Active NPI
Mahmoud Farhat, DDS
- Dentist
- Dearborn, MI
National Provider Identifier
1447828322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600939
- Practice address
- 14639 Ford Rd
Dearborn, MI 48126-3173 - Phone
- (313) 460-7322
- NPI assigned
- Jun 16, 2021
- 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 | 2901600939 | MI | Primary |
Addresses
Primary practice location
14639 Ford Rd
Dearborn, MI 48126-3173
Mailing address
1371 Tradition Dr
Canton, MI 48187-5810
Phone (313) 460-7322
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 |
|---|---|---|---|
| 2901600939 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1447828322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 TRADITION DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481875810",
"telephone_number": "313-460-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14639 FORD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263173",
"telephone_number": "313-460-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAT",
"first_name": "MAHMOUD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600939",
"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 Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.