Iyad James Fakhouri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN16329 Issued in FL

Practice address

7442 N Tamiami TRL
Sarasota, FL 34243-1800

Phone

(941) 351-8338

Fax

(941) 355-8853

NPI assigned

Aug 1, 2009

Sex

Male

Sole proprietor

No

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 FL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarasota Dental Specialties PA

  • Periodontics
  • Sarasota, FL
  • NPI 1831556273
  NPD (past)

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

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249084800000",
    "number": "1689805145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST",
            "address_2": "SUITE #205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393524",
            "telephone_number": "941-953-4288",
            "fax_number": "941-953-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7442 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431800",
            "telephone_number": "941-351-8338",
            "fax_number": "941-355-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURI",
        "first_name": "IYAD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-01",
        "last_updated": "2009-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Vance Fago, APRN
• Daniela Faife Rodriguez
• Deily Faife Rodriguez
• Martin Dean Faile, PHARMD
• Lewis Walter Failor III, DC
• Ali Fakih, PHARM.D
• Roberto Falcon
• Lynne Marie Falcone
• Herbert K Fallin III, OD
• Michael Christian Falzone, COTA

• Dentist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2009; 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.