Larry R Farsakian, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Practice address

600 Central Ave
Suite 250
Highland Park, IL 60035-3211

Phone

(847) 433-5155

Fax

(847) 433-5630

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

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.

• Highland Park Endodontics

  • Endodontics
  • Highland Park, IL
  • NPI 1043097348
  NPD (past)
• Highland Park Endodontics, LTD.

  • Endodontics
  • Highland Park, IL
  • NPI 1659464378
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891891842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-433-5155",
            "fax_number": "847-433-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-433-5155",
            "fax_number": "847-433-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSAKIAN",
        "first_name": "LARRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care LTD
• Eye Magic Inc
• Family Service of Lake County
• Family Service:Prevention, Education & Counseling NFP
• Fancy Shmancy Analyze LLC
• Fce Unlimited
• Enid Fefer, LCSW
• Carolyn Feingold
• Shaseme Fejza, APN-CNP
• Robert R Feldman, PH.D.

• Endodontics in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.