Individual provider Active NPI

Shirin Farhadian

  • Periodontics
  • Frisco, TX
National Provider Identifier
1699328419
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
35473 Issued in TX
Practice address
14688 State Highway 121 Ste 100
Frisco, TX 75035-4659
Phone
(972) 677-3343
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 35473 TX Primary

Addresses

Primary practice location

14688 State Highway 121 Ste 100
Frisco, TX 75035-4659

Mailing address

5028 Bridge Creek Dr
Plano, TX 75093-5702
Phone (314) 630-5975

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL frisco@sigmaendo.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35473TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
1 Stop Dentistry Meadows Place PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1699328419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 BRIDGE CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935702",
            "telephone_number": "314-630-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 STATE HIGHWAY 121 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354659",
            "telephone_number": "972-677-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHADIAN",
        "first_name": "SHIRIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "35473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "frisco@sigmaendo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14688 State Highway 121 Ste 100",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750354659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.