Tirbod Fattahi, M.D. , DDS

NPI: 1093780603

Tirbod Fattahi, M.D. , DDS

Q: What is Tirbod Fattahi's NPI number?

Tirbod Fattahi's NPI number is 1093780603, a unique 10-digit identifier issued by CMS.

Q: What does Tirbod Fattahi specialize in?

Tirbod Fattahi specializes in Specialty not listed, taxonomy code 204E00000X.

Q: Where does Tirbod Fattahi practice?

Tirbod Fattahi practices in Jacksonville, FL 32209-6511.

Q: When was Tirbod Fattahi's NPI issued?

Tirbod Fattahi's NPI was issued on February 18, 2006.

Q: What is Tirbod Fattahi's provider type?

Tirbod Fattahi is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: February 18, 2006

Quick Facts

NPI Number

1093780603

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy204E00000X — Specialty not listed

Phone

(904) 244-3901

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1093780603)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (February 18, 2006)

Data source: CMS NPPES

Provider Overview

TIRBOD FATTAHI, M.D. , DDS is a Healthcare provider based in Jacksonville, FL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1093780603

Provider TypeIndividual Provider

GenderMale

CredentialM.D. , DDS

StatusActive

Enumeration DateFebruary 18, 2006

Practice Location

CityJacksonville

StateFL

ZIP Code32209-6511

Phone(904) 244-3901

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code204E00000X

License StateFL

Mailing Address

CityJacksonville

StateFL

ZIP Code32209-6511

Phone(904) 244-3901

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093780603 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093780603for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093780603 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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