Organization Active NPI

Farahay Family Dental Care, Inc

  • General Practice Dentistry
  • Cambridge, OH
National Provider Identifier
1841406089
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21896 Issued in OH
Legal business name
FARAHAY FAMILY DENTAL CARE, INC
Practice address
522 Wheeling Ave
Cambridge, OH 43725
Phone
(740) 439-1204
Fax
(740) 439-9392
NPI assigned
May 15, 2007
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Kimberly Q Farahay, DDSNPI 1215903364
Title
President/Owner
Phone
(740) 439-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21896 OH Primary

Addresses

Primary practice location

522 Wheeling Ave
Cambridge, OH 43725

Mailing address

522 Wheeling Ave
Cambridge, OH 43725
Phone (740) 439-1204

Other identifiers 2

IdentifierTypeStateIssuer
2663676MedicaidOH
1879409OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

220 Highland Ave
Cambridge, OH 43725

522 Wheeling Ave
Cambridge, OH 43725
Phone (740) 439-1204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1841406089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 WHEELING AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-439-1204",
            "fax_number": "740-439-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WHEELING AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-439-1204",
            "fax_number": "740-439-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAHAY FAMILY DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "FARAHAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "740-439-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2663676",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1879409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.