Omid Fallah Mehdipour Farashtami

Primary specialty

DentistTaxonomy code 122300000X

License

31764 Issued in TX

Practice address

7401 W Washington Ave Apt 2047
Las Vegas, NV 89128-4314

Phone

(858) 776-1933

NPI assigned

Jun 12, 2015

Last updated

Oct 9, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1952782294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 LEGENDARY DR",
            "address_2": "APT 4302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274023",
            "telephone_number": "858-776-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W WASHINGTON AVE APT 2047",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284314",
            "telephone_number": "858-776-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAH MEHDIPOUR FARASHTAMI",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31764",
            "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": []
}

• Bobra Falkner
• Jody Falkowitz
• Alioune B Fall
• Mildred Fall
• Justine Falla
• Mabel Fallat
• Ian Jacob Arcala Fallejo, RN
• Fallon Chiropractic Inc
• Nancy Fallon, DC
• Dennis Allen Falls, M.D.,

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2016; 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.