Fareeha Malik, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D008944 Issued in AZ

Practice address

2755 S 99TH Ave
Ste 105
Tolleson, AZ 85353-1404

Phone

(623) 478-1624

NPI assigned

Jul 20, 2012

Sex

Female

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Canyon Modern Dentistry & Orthodontics

  • Dental Clinic/Center
  • Surprise, AZ
  • NPI 1366848897
  NPD (past)
• Promenade Dental Group, LLP

  • General Practice Dentistry
  • Tolleson, AZ
  • NPI 1285798462
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1588919948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S 99TH AVE",
            "address_2": "STE 105",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531404",
            "telephone_number": "623-478-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S 99TH AVE",
            "address_2": "STE 105",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531404",
            "telephone_number": "623-478-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FAREEHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mafbacktrans
• Ariel Diane Maglinao, M.S., SLP-CF
• Bradon Michael Magnus, PHARMD
• Mahera Corporation
• Emma Lauren Maiorella, PHARMD
• Cheryl Anne Malone, PHARM.D.
• Mankisha Health Services LLC
• Jessica Andreevna Margolias
• Leonela Katherine Martinez, D.C.
• Shaddi Juan Jaime Mejia Martinez

• Dentist in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.