Individual provider Active NPI

Fahreen Pardhan, DMD

  • Dentist
  • Garfield Heights, OH
National Provider Identifier
1801073846
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022576 Issued in OH
Practice address
12630 Rockside Rd
Garfield Heights, OH 44125-4525
Phone
(216) 662-0499
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.022576 OH Primary

Addresses

Primary practice location

12630 Rockside Rd
Garfield Heights, OH 44125-4525

Mailing address

12630 Rockside Rd
Garfield Heights, OH 44125-4525
Phone (216) 662-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150728005788 CA Order and Referring Only - DentistPractitioner - Dentist 2163736687
I20160309002947 OH Order and Referring Only - DentistPractitioner - Dentist 2163736687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meckler Dental Providers (Garfield), Inc Dentist Past Accepting new patients

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1801073846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 ROCKSIDE RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254525",
            "telephone_number": "216-662-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 ROCKSIDE RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254525",
            "telephone_number": "216-662-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDHAN",
        "first_name": "FAHREEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.