Active NPI
Farhad Kevin Baghaie, DDS
- Dentist
- Sheppard Afb, TX
National Provider Identifier
1770220402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601356
- Practice address
- 527 Tuskegee Airman Blvd. BLDG 500
Sheppard Afb, TX 76311 - Phone
- (940) 676-1914
- NPI assigned
- May 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Dentist | 122300000X | 2901601356 | MI | Primary |
Addresses
Primary practice location
527 Tuskegee Airman Blvd. BLDG 500
Sheppard Afb, TX 76311
Mailing address
2100 Santa Fe St Apt 808
Wichita Falls, TX 76309-3454
Phone (248) 719-6660
Other practice location 1
350 Boatner Rd
Eglin AFB, FL 32542-1391
Phone (850) 883-8324
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | farhad.k.baghaie.mil@health.mil | Direct |
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 |
|---|---|---|---|
| 2901601356 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1770220402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SANTA FE ST APT 808",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763093454",
"telephone_number": "248-719-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 TUSKEGEE AIRMAN BLVD. BLDG 500",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "76311",
"telephone_number": "940-676-1914"
}
],
"practiceLocations": [
{
"address_1": "350 Boatner Rd",
"address_purpose": "LOCATION",
"city": "Eglin AFB",
"state": "FL",
"postal_code": "325421391",
"country_code": "US",
"telephone_number": "850-883-8324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGHAIE",
"first_name": "FARHAD",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-14",
"last_updated": "2023-10-04",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601356",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "farhad.k.baghaie.mil@health.mil",
"affiliation": "N",
"endpointDescription": "Military Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "527 Tuskegee Airman Blvd. Bldg 500",
"city": "Sheppard AFB",
"state": "TX",
"country_code": "US",
"postal_code": "76311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.