Individual provider Active NPI

Farha Mohamed, D.D.S.

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1588950455
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27036 Issued in TX
Practice address
1601 W Trenton Rd Ste J
Edinburg, TX 78539-1504
Phone
(956) 378-6470
NPI assigned
Jun 20, 2011
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27036 TX Primary

Addresses

Primary practice location

1601 W Trenton Rd Ste J
Edinburg, TX 78539-1504

Mailing address

1601 W Trenton Rd Ste J
Edinburg, TX 78539-1504
Phone (956) 378-6470

Other practice location 1

415 W Main Ave Ste B
Mission, TX 78573-1577
Phone (956) 506-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150914001771 TX Order and Referring Only - DentistPractitioner - Dentist 1153638895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27036TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1588950455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W TRENTON RD STE J",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391504",
            "telephone_number": "956-378-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W TRENTON RD STE J",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391504",
            "telephone_number": "956-378-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Main Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785731577",
            "country_code": "US",
            "telephone_number": "956-506-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "FARHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.