Tahir R Farooki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041899 Issued in NY

Practice address

1785 Military Tpke
Suite # 12
Plattsburgh, NY 12901-7704

Phone

(518) 561-5700

Fax

(518) 561-5700

NPI assigned

Dec 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740341999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FACTEAU AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016422",
            "telephone_number": "518-561-5700",
            "fax_number": "518-561-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 MILITARY TPKE",
            "address_2": "SUITE # 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017704",
            "telephone_number": "518-561-5700",
            "fax_number": "518-561-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOKI",
        "first_name": "TAHIR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01142763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Amber Facteau-Rabideau, NP
• Darwyna Facteau, R. N.
• James Facteau
• Peyton Falb
• Julie Falletta, PHARMD
• Andrea Farrell, FNP
• Dawn M Farrell
• Gault M Farrell, MD
• Lia Farrell, MD
• Marshall Farwell, MHC-P

• General Practice Dentistry in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.