Bradley L Farr, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

D008883 Issued in AZ

Practice address

625 W Southern Ave Ste E-145
Mesa, AZ 85210-5030

Phone

(480) 332-0577

Fax

(602) 483-1635

NPI assigned

Sep 26, 2011

Last updated

Jun 28, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1962785097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE STE E-145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105030",
            "telephone_number": "480-332-0577",
            "fax_number": "602-483-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE STE E-145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105030",
            "telephone_number": "480-332-0577",
            "fax_number": "602-483-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "BRADLEY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D008883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Derek Farnsworth, D.M.D
• Christopher Martin Farnsworth, DMD
• David J Farnsworth, D.C.
• Drew Mitchell Farnsworth, DMD
• Zachary Farnworth, DO
• Kenneth L Farr, D. C.
• R Keith Farr, DDS
• Stefan Brice Farrell, CNS, MSN
• Edward P Farretta
• Dana S Farris, MD

• Dental Anesthesiology in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Anesthesiology in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.