Individual provider Active NPI

Farnam H Farzam, M.S., D.D.S.,P.A.

  • Dentist
  • Houston, TX
National Provider Identifier
1619972080
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18688 Issued in TX
Practice address
2615 Southwest Fwy
Ste 190
Houston, TX 77098-4609
Phone
(713) 871-8800
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18688 TX Primary

Addresses

Primary practice location

2615 Southwest Fwy
Ste 190
Houston, TX 77098-4609

Mailing address

2615 Southwest Fwy
Ste 190
Houston, TX 77098-4609
Phone (713) 871-8800

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
I20160307001843 TX Order and Referring Only - DentistPractitioner - Dentist 7012213747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1619972080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY",
            "address_2": "STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984609",
            "telephone_number": "713-871-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY",
            "address_2": "STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984609",
            "telephone_number": "713-871-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAM",
        "first_name": "FARNAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.S., D.D.S.,P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.