Individual provider Active NPI

Amir Farhangpour, D.D.S

  • Dentist
  • Omaha, NE
National Provider Identifier
1528439403
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13994 Issued in FL
Practice address
989375 Nebreska Med Center
Omaha, NE 68198-9375
Phone
(402) 559-6000
Fax
(402) 559-9307
NPI assigned
Oct 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13994 FL Primary

Addresses

Primary practice location

989375 Nebreska Med Center
Omaha, NE 68198-9375

Mailing address

989375 Nebreska Med Center
Omaha, NE 68198-9375
Phone (402) 559-6000

Other identifiers 1

IdentifierTypeStateIssuer
DN13984OtherFLFDH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN13994FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1528439403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989375 NEBRESKA MED CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681989375",
            "telephone_number": "402-559-6000",
            "fax_number": "402-559-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989375 NEBRESKA MED CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681989375",
            "telephone_number": "402-559-6000",
            "fax_number": "402-559-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHANGPOUR",
        "first_name": "AMIR",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-17",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDH",
            "identifier": "DN13984",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.