Active NPI
James Roman Farrar, D.D.S
- Endodontics
- Ruston, LA
National Provider Identifier
1649472184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5241
- Practice address
- 1809 Northpointe LN
Ste 104
Ruston, LA 71270-3853 - Phone
- (318) 548-4334
- NPI assigned
- Jun 5, 2007
- Last updated
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5241 | LA | Primary |
Addresses
Primary practice location
1809 Northpointe LN
Ste 104
Ruston, LA 71270-3853
Mailing address
PO Box 190
Ruston, LA 71273-0190
Phone (318) 255-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616001447 | LA | Order and Referring Only - Oral Surgery | 4688985773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5241 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1649472184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "RUSTON",
"state": "LA",
"postal_code": "712730190",
"telephone_number": "318-255-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NORTHPOINTE LN",
"address_2": "STE 104",
"city": "RUSTON",
"state": "LA",
"postal_code": "712703853",
"telephone_number": "318-548-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "JAMES",
"middle_name": "ROMAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "5241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.