Farah Haroon, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

105755 Issued in CA

Practice address

250 E 7TH St Ste D
Upland, CA 91786-6603

Phone

(909) 982-4169

NPI assigned

Jun 6, 2014

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shadie R. Azar, DMD, MSD,PC

  dba Azar&Kepic Periodontics&Dental Implants

  • Dental Clinic/Center
  • Upland, CA
  • NPI 1578136578
  NPD
• West 38TH Dental, LTD

  • Dentist
  • Indianapolis, IN
  • NPI 1245649052
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1740693738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 CHURCH ST APT 1610",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308585",
            "telephone_number": "562-212-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 7TH ST STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866603",
            "telephone_number": "909-982-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROON",
        "first_name": "FARAH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012670A",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "105755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Hanna, MD
• Christine Hansen
• Rizwan Ul Haque, RD
• Kristen Hardin
• Veronica Jacques Haro, LCSW
• Antonette Harris
• Danielle Harris
• Effuah A Harris, DDS
• Rayna Gayle Harrison
• Holly Harrod

• Periodontics in Upland, CA
• Providers in Upland, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.