Organization Active NPI

Facial Surgery Institute, PLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Marquette, MI
National Provider Identifier
1740533892
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
FACIAL SURGERY INSTITUTE, PLC
Practice address
1029 Lincoln Ave
Suite #4
Marquette, MI 49855-2679
Phone
(906) 225-5959
NPI assigned
Oct 25, 2012
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Frank Farbod, MD,DMD,FACS,FRCS
Title
Medical Director
Phone
(906) 225-5959

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X NU

Addresses

Primary practice location

1029 Lincoln Ave
Suite #4
Marquette, MI 49855-2679

Mailing address

1029 Lincoln Ave
Suite #4
Marquette, MI 49855-2679
Phone (906) 225-5959

Other identifiers 1

IdentifierTypeStateIssuer
5520044OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1029 Lincoln Ave
Ste 4
Marquette, MI 49855
Phone (906) 225-5959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1740533892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LINCOLN AVE",
            "address_2": "SUITE #4",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552679",
            "telephone_number": "906-225-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LINCOLN AVE",
            "address_2": "SUITE #4",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552679",
            "telephone_number": "906-225-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL SURGERY INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "FARBOD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "906-225-5959",
        "authorized_official_credential": "MD,DMD,FACS,FRCS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5520044",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.