NICOLE FARR DMD PC (NPI# 1801441936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801441936 |
| Entity Type | Organization |
| Organization Name | NICOLE FARR DMD PC |
| Practice Address |
427 N Larchmont Blvd Los Angeles CA 90004-3013 |
| Practice Telephone | 3234671355 |
| Mailing Telephone | 3234671355 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | NICOLE FARR (DENTIST/OWNER/PRESIDENT) |
| Authorized Official Telephone | 8186253235 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PPO AND FFS ONLY | 100263 | 01 |
| Street Address |
427 N LARCHMONT BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871833822 | Richard Brian Swanson | Dentist | 427 N Larchmont Blvd, Los Angeles, CA 90004-3013 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417584186 | Nam Dental Corporation | Clinic/Center | 3663 W 6th St Ste 300, Los Angeles, CA 90020-3050 | 2020-03-24 |
| 1487294948 | Ebi Nikjoo Dds Inc | Clinic/Center | 10921 Wilshire Blvd Ste 601, Los Angeles, CA 90024-4003 | 2020-01-13 |
| 1548800576 | City Terrace Dental | Clinic/Center | 3604 E 1st St, Los Angeles, CA 90063-2326 | 2020-01-07 |
| 1801434196 | City Terrace Dental | Clinic/Center | 2407 N Broadway, Los Angeles, CA 90031-2218 | 2019-12-17 |
| 1437793445 | Baag, Lee & Chung Dental Corp. | Clinic/Center | 3224 W Olympic Blvd # 201, Los Angeles, CA 90006-2317 | 2019-11-01 |
| 1992348866 | Coleman Dental Associates Ca, A Dental Corporation | Clinic/Center | 221 Westwood Plaza Suite 211, Los Angeles, CA 90095-0001 | 2019-10-23 |
| 1427690825 | Pedram Sooferi Dds, Inc | Clinic/Center | 8930 S Sepulveda Blvd Ste 118, Los Angeles, CA 90045-3606 | 2019-10-17 |
| 1841846433 | P.sionat Dental Corp. | Clinic/Center | 1800 W 6th St Ste 2, Los Angeles, CA 90057-3139 | 2019-08-10 |
| 1326691320 | Linda B. Chen, Dds | Clinic/Center | 10814 Jefferson Blvd Ste G, Los Angeles, CA 90230-4988 | 2019-07-18 |
| 1912487372 | Donna Lieu Dds Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 1109, Los Angeles, CA 90048-5812 | 2018-08-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on NICOLE FARR DMD PC.
| 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.