Active NPI
Edwin L Farrar, DDS Inc
- Oral and Maxillofacial Surgery (Dentist)
- Mansfield, OH
National Provider Identifier
1780776575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- EDWIN L FARRAR, DDS INC
- Practice address
- 630 Lexington Ave
Mansfield, OH 44907-1500 - Phone
- (419) 756-0711
- Fax
- (419) 756-4886
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Randi Patricia Bittle
- Title
- Office Manager
- Phone
- (419) 756-0711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
630 Lexington Ave
Mansfield, OH 44907-1500
Mailing address
630 Lexington Ave
Mansfield, OH 44907-1500
Phone (419) 756-0711
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1780776575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071500",
"telephone_number": "419-756-0711",
"fax_number": "419-756-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071500",
"telephone_number": "419-756-0711",
"fax_number": "419-756-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN L FARRAR, DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "BITTLE",
"authorized_official_first_name": "RANDI",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-756-0711",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.