Active NPI
Farzad Deyhim, L.D.
- Registered Dietitian
- Alice, TX
National Provider Identifier
1669648440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT8080
- Practice address
- 204 E 1St St
Alice, TX 78332-4822 - Phone
- (956) 728-1769
- Fax
- (956) 722-1723
- NPI assigned
- May 1, 2008
- Last updated
- May 1, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT8080 | TX | Primary |
Addresses
Primary practice location
204 E 1St St
Alice, TX 78332-4822
Mailing address
PO Box 1820
Alice, TX 78333-1820
Phone (956) 728-1769
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT8080 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1669648440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1820",
"city": "ALICE",
"state": "TX",
"postal_code": "783331820",
"telephone_number": "956-728-1769",
"fax_number": "956-722-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E 1ST ST",
"city": "ALICE",
"state": "TX",
"postal_code": "783324822",
"telephone_number": "956-728-1769",
"fax_number": "956-722-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYHIM",
"first_name": "FARZAD",
"credential": "L.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT8080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
- Mary Dacosta, MD
- Roxanne Daniel-Reyes
- Emma Galvan Delapaz, SLP
- Dental World PLLC
- Dental World-Alice PLLC
- Dialysis Management Corporation (Bay Area Dialysis-Alice)
- Annie M Diaz, FNP-C
- Kristin Leni Dillon, NP-C
- Jaroslav Dolezal, D.D.S.
- Dominican Sisters of Saint Thomas Aquinas (Hosanna Adult Day Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.