Benjamin Farham, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D11396 Issued in OR

Practice address

11805 NW Cedar Falls Dr Ste 101
Portland, OR 97229-2780

Phone

(971) 205-3820

NPI assigned

Jul 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1467060525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 NW CEDAR FALLS DR STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292780",
            "telephone_number": "971-205-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 NW CEDAR FALLS DR STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292780",
            "telephone_number": "971-205-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAM",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D11396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Fares
• Riyad Fares, M.D.
• Bryce Fargher, QMHA-R, CADC-R
• Daniel Joseph Fargo, ND
• Nikita Farhaj, MD, MPH
• Thomas Faria
• Lucrecia Farias
• Maryam Armin Farinola, M.D.
• Brooks Briasson Faris II
• Charlotte Kathleen Faris, LMT

• Endodontics in Portland, OR
• Providers in Portland, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.