Individual provider Active NPI

Vincent W Farhood, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Vacaville, CA
National Provider Identifier
1972654465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
21123 Issued in CA
Practice address
3000 Alamo Dr Ste 206
Vacaville, CA 95687-6352
Phone
(707) 451-1311
Fax
(707) 451-1325
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 21123 CA Primary

Addresses

Primary practice location

3000 Alamo Dr Ste 206
Vacaville, CA 95687-6352

Mailing address

3000 Alamo Dr Ste 206
Vacaville, CA 95687-6352
Phone (707) 451-1311

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21123CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972654465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 206",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876352",
            "telephone_number": "707-451-1311",
            "fax_number": "707-451-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 206",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876352",
            "telephone_number": "707-451-1311",
            "fax_number": "707-451-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHOOD",
        "first_name": "VINCENT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "21123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.