FADI AMER FARAH (NPI# 1295265015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295265015 |
| Entity Type | Individual |
| Full Name | FADI AMER FARAH |
| Credential | DA |
| Practice Address |
632 Blue Hill Ave Dorchester MA 02121 |
| Mailing Address |
1290 Tremont St Roxbury MA 02120-3432 |
| Practice Telephone | 6178253400 |
| Mailing Telephone | 6174271000 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DL13612 | MA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DL13247 | MA | Dental Providers |
| N | 126800000X | Dental Assistant | DA06547 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1290 Tremont St, Roxbury, MA 021203432 | 6174271000 | |
| 278 Blue Hill Ave, Roxbury, MA 021192158 | 6178582550 | |
| 55 Dimock Street, Roxbury, MA 021190211 | 6174428800 | 6174428800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760814933 | Fadi Farah | Anesthesiology | 111 E 210th St, Bronx, NY 10467 | 2013-07-30 |
| 1093850570 | Fadi Farah | Dentist | 95 Washington St, Canton, MA 02021-4006 | 2007-02-21 |
| Street Address |
632 BLUE HILL AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834658 | Sarah Rachel Desmond | Nurse Practitioner | 632 Blue Hill Ave, Harvard Street Neighborhood Health Center, Dorchester, MA 02121-3213 | 2006-01-07 |
| 1578161097 | Kelly Hogan | Registered Nurse | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2020-10-16 |
| 1760089858 | Harvard Street Neighborhood Health Center | Registered Nurse | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-10-02 |
| 1063028165 | Michael Cortez | Social Worker | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-09-23 |
| 1811506397 | Stella Athanasopoulos | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-07-30 |
| 1801438809 | Erica Jean-pierre | Internal Medicine | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2019-10-10 |
| 1013477207 | Karla I Noonan | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2019-03-22 |
| 1003375841 | Jesse Busa | Nutritionist | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2019-03-19 |
| 1205311024 | Chioma Okoye | Pharmacist | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2018-09-27 |
| 1700322518 | Rahmo Said | Dental Hygienist | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476243 | Trish Ha Dang | Dentist | 400 Savin Hill Ave Apt 7, Dorchester, MA 02125-3325 | 2020-08-07 |
| 1013258359 | Davis Square Dental Specialists | Dentist | 1792 Dorchester Ave, Dorchester, MA 02124-2533 | 2013-03-12 |
| 1255596797 | Thanh K Hong | Dentist | 1335 Dorchester Ave, Dorchester, MA 02122-2932 | 2008-07-24 |
| 1770610891 | Seema Z Jacob | Dentist | 614 B, Blue Hill Ave, Suite B, Dorchester, MA 02121 | 2007-02-27 |
| 1598839086 | Nhung Thi Tran Dmd PC | Dentist | 850 Dorchester Ave, Dorchester, MA 02125-1133 | 2006-11-17 |
| 1588734297 | Omar L Ghoneim | Dentist | 250 Mount Vernon Street, Dorchester, MA 02125 | 2006-11-09 |
| 1881763431 | Maurice Zylber | Dentist | 97 Neponset Ave, Dorchester, MA 02122 | 2006-11-07 |
| 1619070265 | Keith Desmond Morris | Dentist | 56 Melville Ave, Ste 1, Dorchester, MA 02124 | 2006-09-07 |
| 1174530844 | Patrick Lloyd Smith | Dentist | 172 Ashmont St, Dorchester, MA 02124-3745 | 2006-08-02 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02121 |
Please comment or provide details below to improve the information on FADI AMER FARAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.