Active NPI
Tania Faruqi, DDS
- Dentist
- Clarksville, TN
National Provider Identifier
1972064186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11400
- Practice address
- 1777 Madison St Ste 100
Clarksville, TN 37043-4912 - Phone
- (913) 202-9151
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 11400 | TN | Primary |
Addresses
Primary practice location
1777 Madison St Ste 100
Clarksville, TN 37043-4912
Mailing address
1880 Armstrong Dr
Clarksville, TN 37042-6602
Phone (571) 426-9264
Other practice location 1
4915 25th Ave NE Ste 205
Seattle, WA 98105-5668
Phone (206) 524-1600
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 |
|---|---|---|---|
| 11400 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winston & Letwin DDS, PLLC | Past | Accepting new patients | |
| Peregrine Pacific Anesthesia PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1891065595
-
- General Practice Dentistry
- Seattle, WA
- NPI 1669655767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1972064186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 ARMSTRONG DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426602",
"telephone_number": "571-426-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 MADISON ST STE 100",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434912",
"telephone_number": "913-202-9151"
}
],
"practiceLocations": [
{
"address_1": "4915 25th Ave NE Ste 205",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981055668",
"country_code": "US",
"telephone_number": "206-524-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARUQI",
"first_name": "TANIA",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.