Mohaad Amar Faraj

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39450 Issued in TX

Practice address

3233 63Rd St Ste a
Lubbock, TX 79413-5742

Phone

(806) 577-8600

Fax

(806) 403-3340

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Damas Dental Aesthetics PLLC

  • Dental Clinic/Center
  • Lubbock, TX
  • NPI 1619764388
  NPD Authorized official
• Grimes Dentistry PLLC

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1437049780
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780224915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 63RD ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135742",
            "telephone_number": "806-577-8600",
            "fax_number": "806-403-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 63RD ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135742",
            "telephone_number": "806-577-8600",
            "fax_number": "806-403-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794240963",
            "country_code": "US",
            "telephone_number": "806-798-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAJ",
        "first_name": "MOHAAD",
        "middle_name": "AMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "12873",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "39450",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Kaye Fant, OTR
• Rebecca Fant, FNP
• Ashraf Farag, MD
• Mirana Farag
• Malak Faragallah, MD
• Fare' Health Centers, LLC
• Kenna Provost Farek, MD
• William E Fargason, M.D.
• Rebecca Anne Farias, MD
• Jeffery Farley, FNP

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.