Individual provider Active NPI

Farzon Danesh, AUD

  • Audiologist
  • Boca Raton, FL
National Provider Identifier
1477375368
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2880 Issued in FL
Practice address
1500 NW 10TH Ave Ste 104
Boca Raton, FL 33486-1344
Phone
(561) 807-7873
Fax
(561) 807-7947
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2880 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave Ste 104
Boca Raton, FL 33486-1344

Mailing address

1500 NW 10TH Ave Ste 104
Boca Raton, FL 33486-1344
Phone (561) 807-7873

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
AY2880FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1477375368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861344",
            "telephone_number": "561-807-7873",
            "fax_number": "561-807-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861344",
            "telephone_number": "561-807-7873",
            "fax_number": "561-807-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "FARZON",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.