Rene A Farah, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5709 Issued in WI

Practice address

15397 State Highway 32
Lakewood, WI 54138-9702

Phone

(715) 276-6321

Fax

(715) 276-1428

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

No

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.

• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, WI
  • NPI 1699778233
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2015.

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1720455496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541380179",
            "telephone_number": "715-276-6321",
            "fax_number": "715-276-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15397 STATE HIGHWAY 32",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541389702",
            "telephone_number": "715-276-6321",
            "fax_number": "715-276-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "RENE",
        "middle_name": "A",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Dailey, FNP
• Melissa Day, APSW
• Muhammad Saadah Diab, DMD
• Gary A Donaldson, RPH
• Blake J Edinger, D.D.S.
• Christi Fowler, MS, NCC, LPC
• Leslee A Granke, APNP
• Ashlei Elaine Guarisco, R.D.H.
• Gisela Gunderson
• Habeck Chiropractic Center, LLC

• All providers in Lakewood, WI
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.