Dr. Fara Azar, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI019116 Issued in NJ

Legal business name

DR. FARA AZAR, LLC

Practice address

311 Orange Rd
Montclair, NJ 07042-4451

Phone

(973) 744-1712

Fax

(973) 744-2903

NPI assigned

Apr 17, 2007

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faranak Azar, DMDNPI 1740459007

Title

Owner

Phone

(973) 744-1712

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faranak Azar, D.M.D.

  • Dentist
  • Montclair, NJ
  • NPI 1740459007
  NPD (past) Authorized official
• Attieh Arefian, DMD

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1568607091
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1962628180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424451",
            "telephone_number": "973-744-1712",
            "fax_number": "973-744-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424451",
            "telephone_number": "973-744-1712",
            "fax_number": "973-744-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FARA AZAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "FARANAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-744-1712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Montclair, NJ
• Providers in Montclair, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.