Ibad Farshori

Primary specialty

DentistTaxonomy code 122300000X

License

18067 Issued in MD

Practice address

1730 Massey Blvd Ste 106
Hagerstown, MD 21740-6973

Phone

(240) 481-6093

NPI assigned

May 23, 2023

Last updated

Jun 30, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1487346045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 EVANGELINE LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322931",
            "telephone_number": "240-481-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MASSEY BLVD STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406973",
            "telephone_number": "240-481-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSHORI",
        "first_name": "IBAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice, Howard N Weeks MD PA
• Johanna Fangmeyer, MSN, CRNP
• Rida Faridi, LGPC
• Zubair Haider Faridi, M.D.
• Kimberly Farmer, LCSWC
• Jamal Fawaz, MD
• Catherine Feaga, DO
• Christine A Feathers, CRNP
• Ioana Anda Fedeles-Muller
• Susan Michelle Fedorko, LCSW-C

• Dentist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.