Active NPI
Farid Toub, DMD
- General Practice Dentistry
- Austell, GA
National Provider Identifier
1760654859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013699
- Practice address
- 3845 Medical Park Dr
Austell, GA 30106-1109 - Phone
- (215) 913-8682
- NPI assigned
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013699 | GA | Primary |
Addresses
Primary practice location
3845 Medical Park Dr
Austell, GA 30106-1109
Mailing address
40 Peachtree Valley Rd NE
Apt 1724
Atlanta, GA 30309-1411
Phone (215) 913-8682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013699 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1760654859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PEACHTREE VALLEY RD NE",
"address_2": "APT 1724",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091411",
"telephone_number": "215-913-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 MEDICAL PARK DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061109",
"telephone_number": "215-913-8682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUB",
"first_name": "FARID",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.