- Practice location
- 2121 E Oltorf St, Austin, TX 78741-4500
- Phone
- 949-800-9524
- Fax
- —
- Last updated
- November 19, 2021
Fareeda Bacchus is a Dentist, General Practice based in Austin, TX. Fareeda Bacchus practices in Austin, TX and has the professional credentials of DDS, MS. The NPI Number for Fareeda Bacchus is 1053864983 and holds a License No. 33831 (TX). The current practice location address for Fareeda Bacchus is 2121 E Oltorf St, Austin, TX 78741-4500 and can be reached out via phone at 949-800-9524.
Provider Profile Details
- NPI Number
- 1053864983
- Provider Name
- Fareeda Bacchus
- Credential
- DDS, MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2121 E Oltorf St, Austin, TX 78741-4500
- Phone Number
- 949-800-9524
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2016
- Last Update Date
- November 19, 2021
- Certification Date
- November 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2121 E Oltorf St
Austin, TX 78741-4500 - City
- Austin
- State
- Texas
- Zip
- 78741-4500
- Phone Number
- 949-800-9524
Provider Business Mailing Address Details
- Address
- 2121 E Oltorf St
Austin, TX 78741-4500 - City
- Austin
- State
- TX
- Zip
- 78741-4500
License Information
- License Number
- 33831
- License State
- TX
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Fareeda Bacchus, DDS, MS?
The NPI number of Dr. Fareeda Bacchus, DDS, MS is 1053864983. It was assigned on July 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Fareeda Bacchus, DDS, MS?
Dr. Fareeda Bacchus, DDS, MS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 33831.
Where does Dr. Fareeda Bacchus, DDS, MS practice?
The practice location is 2121 E Oltorf St, Austin, TX 78741-4500. The office can be reached at 949-800-9524 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053864983 directly on the NPPES registry website.