Individual provider Active NPI

Farah Talib, DMD

  • Dentist
  • Rosenberg, TX
National Provider Identifier
1457734378
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31109 Issued in TX
Practice address
4114 Avenue H
Rosenberg, TX 77471-2833
Phone
(713) 774-7774
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31109 TX Primary

Addresses

Primary practice location

4114 Avenue H
Rosenberg, TX 77471-2833

Mailing address

4114 Avenue H
Rosenberg, TX 77471-2833
Phone (713) 774-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250815002441 TX Practitioner - Dentist 8123527280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

313 S Brazosport Blvd
Freeport, TX 77541-4506

8433 FM 1464 Rd
L 62
Richmond, TX 77407-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31109TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Farah Talib PLLC Dentist CurrentSince Jun 23, 2025 Accepting new patients
Perfectdentalgroup Baycity PLLC Current Accepting new patients

Locations

313 S Brazosport Blvd
Freeport, TX 77541
Phone (979) 233-6000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1457734378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 AVENUE H",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712833",
            "telephone_number": "713-774-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 AVENUE H",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712833",
            "telephone_number": "713-774-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIB",
        "first_name": "FARAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.