Individual provider Active NPI

Vincent Thomas Farha, DDS PA

  • General Practice Dentistry
  • Derby, KS
National Provider Identifier
1740265800
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6605 Issued in KS
Practice address
500 North Georgie Ave
Derby, KS 67037-1707
Phone
(316) 788-2306
Fax
(316) 788-2807
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6605 KS Primary

Addresses

Primary practice location

500 North Georgie Ave
Derby, KS 67037-1707

Mailing address

500 North Georgie Ave
Derby, KS 67037-1707
Phone (316) 788-2306

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6605KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740265800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTH GEORGIE AVE",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371707",
            "telephone_number": "316-788-2306",
            "fax_number": "316-788-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTH GEORGIE AVE",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371707",
            "telephone_number": "316-788-2306",
            "fax_number": "316-788-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHA",
        "first_name": "VINCENT",
        "middle_name": "THOMAS",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.