Caroline B. Faris, D.M.D., D.M.SC.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21744 Issued in MA

Practice address

1425 Beacon St
Brookline, MA 02446-4808

Phone

(617) 731-3364

Fax

(617) 734-1553

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

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 MA

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

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1619156171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MASSACHUSETTS AVE APT 815",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153514",
            "telephone_number": "617-435-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464808",
            "telephone_number": "617-731-3364",
            "fax_number": "617-734-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "CAROLINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., D.M.SC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "21744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chieh-Min Fan, MD
• Emerson Fang, LICSW
• Benjamin Farber, LCSW
• Emily V Faria, DPT
• Kristin Castillo Farias, M.D.
• Joshua M Fayer, DPT
• Simon Faynzilberg, MD
• Heather Fazio
• Jerome Miles Federschneider, MD
• Alina Fein, LCSW

• Periodontics in Brookline, MA
• Providers in Brookline, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.