Individual provider Active NPI

Arghavan Farhadi

  • General Practice Dentistry
  • Kamuela, HI
National Provider Identifier
1891437968
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3002 Issued in HI
Practice address
65-1190 Mamalahoa Hwy
Kamuela, HI 96743-8431
Phone
(808) 887-6460
NPI assigned
Apr 10, 2022
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3002 HI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

65-1190 Mamalahoa Hwy
Kamuela, HI 96743-8431

Mailing address

312 E 30TH St Apt 9C
New York, NY 10016-8332
Phone (949) 285-8979

Other practice location 1

16-192 Pili Mua St
Keaau, HI 96749-8134
Phone (808) 333-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20230622003240 HI Practitioner - Dentist 4688032634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3002HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamakua Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Hamakua Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

45-549 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7204

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1891437968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 30TH ST APT 9C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168332",
            "telephone_number": "949-285-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1190 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438431",
            "telephone_number": "808-887-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-192 Pili Mua St",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967498134",
            "country_code": "US",
            "telephone_number": "808-333-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHADI",
        "first_name": "ARGHAVAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "3002",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.