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DR. FAREEDA BACCHUS DDS, MS
NPI 1053864983
Dentist - General Practice in Austin, TX

Active since July 27, 2016
2121 E OLTORF ST, AUSTIN, TX 78741(949) 800-9524 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Aug 7, 2018, Apr 30, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Fareeda Bacchus Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAREEDA BACCHUS DDS, MS (NPI 1053864983) is an individual general practice provider in Austin, Texas, licensed in Texas (33831) and active in the NPI registry since July 2016. She maintains a secondary practice location in Jersey City.

NPPES Registry Identity

NPI1053864983
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FAREEDA BACCHUSCredential: DDS, MS
Location Address2121 E OLTORF STAustin, TX 78741-4500
Mailing Address2121 E Oltorf StAustin, TX 78741-4500
Phone(949) 800-9524
Sole ProprietorNo
Enumeration DateJuly 27, 2016
Last NPPES UpdateNovember 19, 20216 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1053864983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 33831
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2121 E OLTORF ST, Austin, TX 78741
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Secondary Practice Location 1

Location 12403 Kennedy BlvdJersey City, NJ 07304-1909 · Phone (201) 332-1664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S AND S DENTAL
Dentist (General Practice)
2121 E OLTORF ST, SUITE #103
AUSTIN, TX 78741
Travis County (512) 326-3003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fareeda Bacchus's NPI number?

The NPI number for Fareeda Bacchus is 1053864983. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Fareeda Bacchus located?

Fareeda Bacchus practices at 2121 E Oltorf St, Austin, TX 78741. The listed phone number is (949) 800-9524.

What is Fareeda Bacchus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Fareeda Bacchus accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Fareeda Bacchus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fareeda Bacchus was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.