Active NPI
Fadi Farhat, D.D.S.
- Dentist
- Sterling Heights, MI
National Provider Identifier
1902965775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18250
- Practice address
- 4147 Metropolitan Pkwy
Suite 101
Sterling Heights, MI 48310-4520 - Phone
- (586) 274-2800
- Fax
- (586) 274-0770
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18250 | MI | Primary |
Addresses
Primary practice location
4147 Metropolitan Pkwy
Suite 101
Sterling Heights, MI 48310-4520
Mailing address
4147 Metropolitan Pkwy
Suite 101
Sterling Heights, MI 48310-4520
Phone (586) 274-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18250 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902965775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4147 METROPOLITAN PKWY",
"address_2": "SUITE 101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104520",
"telephone_number": "586-274-2800",
"fax_number": "586-274-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4147 METROPOLITAN PKWY",
"address_2": "SUITE 101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104520",
"telephone_number": "586-274-2800",
"fax_number": "586-274-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAT",
"first_name": "FADI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "18250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.