Kirolies Farag, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109063 Issued in CA

Practice address

25359 Madison Ave Ste 105
Murrieta, CA 92562-9007

Phone

(951) 447-0322

NPI assigned

Aug 4, 2023

Sex

Male

Sole proprietor

Yes

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1972285203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 ELEMENTS WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25359 MADISON AVE STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629007",
            "telephone_number": "951-447-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "KIROLIES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanatics, LLC
• Jennifer Fang
• Helen Fanning
• Richard Donald Fantozzi, M.D.
• Iman Farag, MS. CF SLP
• Amina S Farah
• Nikki Fae Farley
• Carol Farr, LCSW
• David Jonathan Farr
• Nicole Jeanette Farwell

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.