Individual provider Active NPI

Fahimeh Tafreshi, DDS

  • Dentist
  • Bronx, NY
National Provider Identifier
1558446591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046696 Issued in NY
Practice address
1231 White Plains Rd
Bronx, NY 10472
Phone
(718) 822-7645
Fax
(718) 822-2673
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046696 NY Primary

Addresses

Primary practice location

1231 White Plains Rd
Bronx, NY 10472

Mailing address

1231 White Plains Rd
Bronx, NY 10472
Phone (718) 822-7645

Other identifiers 1

IdentifierTypeStateIssuer
01678775MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160618000000 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810288016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046696NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558446591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10472",
            "telephone_number": "718-822-7645",
            "fax_number": "718-822-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10472",
            "telephone_number": "718-822-7645",
            "fax_number": "718-822-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFRESHI",
        "first_name": "FAHIMEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.