Individual provider Active NPI

Joseph Martin Farkash, D.D.S.

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1609223023
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS105206 Issued in CA
Practice address
4913 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9632
Phone
(530) 556-4810
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901022328 MI
General Practice Dentistry 1223G0001X DDS105206 CA Primary

Addresses

Primary practice location

4913 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9632

Mailing address

28442 Driver Ave
Agoura Hills, CA 91301-2616
Phone (818) 963-0696

Other identifiers 1

IdentifierTypeStateIssuer
DDS105206OtherCADENTAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171115003623 MI Order and Referring Only - DentistPractitioner - Dentist 6800152349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS105206CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Farkash DDS Inc Current Accepting new patients
Andrew Goldenberg, D.D.S., Inc. General Practice PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1609223023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28442 DRIVER AVE",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012616",
            "telephone_number": "818-963-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629632",
            "telephone_number": "530-556-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKASH",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022328",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "DDS105206",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.