Active NPI
Facial Surgery Institute, PLC
- Oral & Maxillofacial Surgery (D.M.D.)
- Marquette, MI
National Provider Identifier
1740533892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5520044 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Marquette, MI
- NPI 1215192745
Oral and Maxillofacial Surgery
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
- Nathan Esplin, MD
- Jill A Esterly-Jayne, LMSW
- Excalibur Medical Imaging, LLC
- Eye Associates of Marquette Inc
- Christopher Robert Faber, MD
- Family Wellness Chiropractic, PLLC
- Frank Farbod, M.D., D.M.D, MD,DMD, FACS, FRCS
- Jennnifer Beth Farnsworth, MSN, RNC-NIC, NNP-BC
- Virginia Burkey Feleppa, MD
- Peter Felsman, PHD, LMSW
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.