Jordan Farah, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901600938 Issued in MI

Practice address

6755 Merriman Rd Ste 1
Garden City, MI 48135-1978

Phone

(734) 680-0420

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By 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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amazing Dental PLLC

  • Dental Clinic/Center
  • Southfield, MI
  • NPI 1134755317
  NPD

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1518535442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MERRIMAN RD STE 1",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351978",
            "telephone_number": "734-680-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MERRIMAN RD STE 1",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351978",
            "telephone_number": "734-680-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "JORDAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxane Eskridge-Garner
• Excellent Home Care Inc (Somerset Home Health Care)
• Shadi Fakhouri, MD
• Fatima Fakhruldin
• Ali Fanharawi, MD
• Fatema Omran MDPC PLLC
• Fearon Optical (Prestige Eyewear)
• Kathleen A. Fellabaum, R.D.
• Amy Lynn Fellman, DO
• Michael Feng, DO

• Dentist in Garden City, MI
• Providers in Garden City, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.