Constantin F Farah, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30-01-8501 Issued in OH

Practice address

4410 Executive Cir NW
Canton, OH 44718-2983

Phone

(330) 494-7004

Fax

(330) 494-7071

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 5, 2014 through Mar 5, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Center for Advanced Periodontal & Implant Care, Inc.

  • Periodontics
  • Canton, OH
  • NPI 1750782298
  NPD (past) Authorized official
• Gumcare and Implant Specialists LLC - Dr. Basta

  • Periodontics
  • Canton, OH
  • NPI 1457186876
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1477517852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 EXECUTIVE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182983",
            "telephone_number": "330-494-7004",
            "fax_number": "330-494-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 EXECUTIVE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182983",
            "telephone_number": "330-494-7004",
            "fax_number": "330-494-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "CONSTANTIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30-01-8501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine Inc
• Family Solutions Residential Services, LLC
• Joseph James Fammartino, M.D.
• Fanno and Scherer Orthodontics
• Lorian Fantz, LPC
• Foad Farizi, MD
• Alicia Farkas, MSSA, LSW
• Emma Farkas
• Lauren E Farris, PA
• Chanell Farrow, CT

• Periodontics in Canton, OH
• Providers in Canton, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.