Active NPI
Farihah Janan Ahmed
- General Practice Dentistry
- Bridgeport, CT
National Provider Identifier
1609475169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12949
- Practice address
- 982 E Main St
Bridgeport, CT 06608-1913 - Phone
- (919) 622-2656
- NPI assigned
- Oct 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12949 | CT | Primary |
Addresses
Primary practice location
982 E Main St
Bridgeport, CT 06608-1913
Mailing address
100 Park Ave Apt 1607
Fort Lee, NJ 07024-3830
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12949 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1609475169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK AVE APT 1607",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 E MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066081913",
"telephone_number": "919-622-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "FARIHAH",
"middle_name": "JANAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "12949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.