Farbod Nadjibi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46651 Issued in CA

Practice address

81 Casa Buena Dr
Suite 1
Corte Madera, CA 94925-1731

Phone

(415) 924-4760

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699855759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CASA BUENA DR",
            "address_2": "SUITE 1",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251731",
            "telephone_number": "415-924-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CASA BUENA DR",
            "address_2": "SUITE 1",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251731",
            "telephone_number": "415-924-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADJIBI",
        "first_name": "FARBOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Morton, DC
• Anna Mousse, FNP-BC
• Elizabeth Moyle, CCC-SLP
• Mulder & Baumbacher MDS Inc. (North Bay TMS)
• Mvjbp Physical Therapy Corporation (Mill Valley Physical Therapy)
• Deborah Riva Nelson, PHD, MFT
• Donald B Nevins, M.D.
• Michelle Dieu Tram Nguyen, OTR/L
• Alexandra Nichols, PHD
• Susan Mary Nickerson

• General Practice Dentistry in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.