Active NPI
Farzin Farahmandnia, DDS
- Dentist
- Roseville, CA
National Provider Identifier
1992377832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108225
- Practice address
- 125 Ascot Dr Ste D
Roseville, CA 95661-3408 - Phone
- (916) 308-2989
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108225 | CA | Primary |
Addresses
Primary practice location
125 Ascot Dr Ste D
Roseville, CA 95661-3408
Mailing address
PO Box 662037
Sacramento, CA 95866-2037
Phone (916) 308-2989
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 |
|---|---|---|---|
| 108225 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1992377832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662037",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958662037",
"telephone_number": "916-308-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ASCOT DR STE D",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613408",
"telephone_number": "916-308-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHMANDNIA",
"first_name": "FARZIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.