Fastbraces of Troy, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FASTBRACES OF TROY, LLC

Practice address

363 W Big Beaver Rd
Ste. 225
Troy, MI 48084-5220

Phone

(248) 817-5662

Fax

(248) 817-5664

NPI assigned

Oct 6, 2014

Last updated

Oct 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly A Thompson

Title

Office Manager

Phone

(248) 817-5662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1730582776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "STE. 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "248-817-5662",
            "fax_number": "248-817-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "STE. 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "248-817-5662",
            "fax_number": "248-817-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTBRACES OF TROY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-817-5662"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parah Farmer
• Kaleb Matthew Farnham
• Deanna Diamond Farrah, MSW
• Farzana Haque M.D. P.C.
• Farzana Haque, MD, PC
• Laura Carney Fathallah, M.D.
• Dennis Paul Favor, LLMSW
• Ahmad Fawaz
• Dema Fawaz, MD
• Zubair Fayyaz, PT, DPT

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.