Edward James Farrell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10741 Issued in FL

Practice address

540 Fieldcrest Dr
The Villages, FL 32162-4601

Phone

(352) 205-7667

NPI assigned

Jan 4, 2007

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

Enrolled in FL

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

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.

• The Village Dental Care, PA

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1073991204
  NPD (past)
• The Village Dental Care, PA

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1649578287
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1477600153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581900",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FIELDCREST DR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624601",
            "telephone_number": "352-205-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Lagrande Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321591302",
            "country_code": "US",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2532 Burnsed Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632704",
            "country_code": "US",
            "telephone_number": "352-205-7667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Urgent Care Center I Inc
• Express Hearing Care, LLC
• Anthony Michael Fahsholtz, DC
• Family Care Center at the Villages Inc
• Judith Jackelyn Faria Briceno, MD
• Rockwell Henry Farrell, DMD
• Maria Fashingbauer, RD
• Adewale A. Fawole, M.D.
• Chelsy Kay Fazio, ARNP
• Federal Orthopedic Solutions, LLC

• General Practice Dentistry in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.