Nathanial Edward Farley, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D009976 Issued in AZ

Practice address

1056 S Val Vista Dr Ste 103
Mesa, AZ 85204-5667

Phone

(480) 832-1375

NPI assigned

Apr 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1497045694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045667",
            "telephone_number": "480-832-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045667",
            "telephone_number": "480-832-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "NATHANIAL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "RES.2744",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6758",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "D009976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Jo Farah, PHARMD
• Steven S Farber, DO
• Arnaldo Fargas-Rodriguez, PMHNP-BC, LMHC
• Ryan Farhat, MD
• Reham Roshdy Farid, FNP-C
• Elbert Farmer
• Byron Derek Farnsworth, D.M.D
• Christopher Martin Farnsworth, DMD
• David J Farnsworth, D.C.
• Drew Mitchell Farnsworth, DMD

• Prosthodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.