Marjan Fakhri, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856666 Issued in MA

Practice address

337 Boston Rd
Billerica, MA 01821-1819

Phone

(978) 663-3321

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1841691946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211819",
            "telephone_number": "978-663-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211819",
            "telephone_number": "978-663-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 Quarry Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027231007",
            "country_code": "US",
            "telephone_number": "508-679-8111",
            "fax_number": "508-837-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKHRI",
        "first_name": "MARJAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856666",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah James Escamilla
• Christine Barbara Ethier, BSN
• Andrea Evans
• Evergreen Dental LLC
• Expert Homecare LLC
• Family Friends Boston II LLC
• Family Friends Boston II, LLC
• Fathyeh Farnaz Marvasti, M.D.
• Chistopher Faust
• Elaine Marie Fell

• General Practice Dentistry in Billerica, MA
• Providers in Billerica, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.