Individual provider Active NPI

Karin S Hatami-Fard, DDS

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1770756751
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40445 Issued in CA
Practice address
5 E Citrus Ave Ste 204
Redlands, CA 92373-4720
Phone
(909) 581-4466
Fax
(909) 798-3779
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40445 CA Primary

Addresses

Primary practice location

5 E Citrus Ave Ste 204
Redlands, CA 92373-4720

Mailing address

5 E Citrus Ave Ste 204
Redlands, CA 92373-4720
Phone (909) 581-4466

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1770756751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E CITRUS AVE STE 204",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734720",
            "telephone_number": "909-581-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E CITRUS AVE STE 204",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734720",
            "telephone_number": "909-581-4466",
            "fax_number": "909-798-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAMI-FARD",
        "first_name": "KARIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.