Active NPI
Shirin Farhadian
- Periodontics
- Frisco, TX
National Provider Identifier
1699328419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 35473
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35473 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Meadows Place, TX
- NPI 1336879824
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.