Facial Head & Neck Surgery PLLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

FACIAL HEAD & NECK SURGERY PLLC

Practice address

2317 Coit Rd Ste a
Plano, TX 75075-3774

Phone

(618) 541-2864

Fax

(817) 500-5032

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Siavash Eftekhari, MD, DMDNPI 1316180821

Title

Sole MBR

Phone

(503) 866-3780

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siavash Eftekhari, DMD, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Frisco, TX
  • NPI 1316180821
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1730625740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 S ADAMS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044428",
            "telephone_number": "503-866-3780",
            "fax_number": "817-500-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 COIT RD STE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753774",
            "telephone_number": "618-541-2864",
            "fax_number": "817-500-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL HEAD & NECK SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "EFTEKHARI",
        "authorized_official_first_name": "SIAVASH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "503-866-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F. Alan Barber, M.D., Facs, P.a.
• F. J. Slater Leasing Co
• Olayinka Olapeju Fabamise
• Jessica Faber, M.A., LPA
• Facial and Skin Surgery Center PA
• Shawn S Faddir, RDH
• Michele N Fagan, CCC/SLP
• Patricia Fagan, FNP-BC
• Marian Fagbemi, PA
• Shanzae Zain Faheem, BDS, MDS

• Surgical Oncology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.