Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21821 Issued in OH

Legal business name

FAMILY DENTAL CARE

Practice address

1240 E. Main St
Springfield, OH 45503

Phone

(937) 323-3400

Fax

(937) 323-3403

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ali Khaksarfars, DDS

Title

Owner

Phone

(937) 323-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1689953564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E. MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45503",
            "telephone_number": "937-323-3400",
            "fax_number": "937-323-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E. MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45503",
            "telephone_number": "937-323-3400",
            "fax_number": "937-323-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "KHAKSARFARS",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-323-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F and F a Partnership
• Jason Richard Faber, MD
• William Shawn Fagan, RN
• Tammy Marie Falloon, LPN
• Ashlee Falls, PHARMD
• Family First Vision Care Kentucky, LLC
• Family Medicine & Adult Care LLC
• Family Physicians of Springfield, Inc
• Family Physicians of Springfield, Inc.
• Family Practice Associates of Springfield LLC

• General Practice Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.