Individual provider Active NPI

Daniel H Farr, M.D., D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmira, NY
National Provider Identifier
1780674796
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
183981-1 Issued in NY
Practice address
451 W Church St
Elmira, NY 14901-2636
Phone
(607) 733-3760
Fax
(607) 734-6000
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 183981-1 NY Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 038959-1 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MD046041L PA

Addresses

Primary practice location

451 W Church St
Elmira, NY 14901-2636

Mailing address

451 W Church St
Elmira, NY 14901-2636
Phone (607) 733-3760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000479 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 9436235876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
038959-1NYMDOral and Maxillofacial Surgery (Dentist)
183981-1NYMDOral and Maxillofacial Surgery (Dentist)
MD046041LPAMDOral and Maxillofacial Surgery (Dentist)
038959NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Maxillofacial Surgery of the Southern Tier, PC Oral and Maxillofacial Surgery CurrentSince May 1, 1992 Accepting new patients

Locations

451 W Church St
Ste 1
Elmira, NY 14901

451 W Church St
Elmira, NY 14901
Phone (607) 733-3760

106 Chemung St
Waverly, NY 14892
Phone (607) 565-7222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1780674796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012636",
            "telephone_number": "607-733-3760",
            "fax_number": "607-734-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012636",
            "telephone_number": "607-733-3760",
            "fax_number": "607-734-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "183981-1",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "038959-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "MD046041L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.