DR. JOHN WILSON FARIS III D.D.S.
NPI 1255437265
Dentist - General Practice in Long Beach, CA

Active since September 16, 2006Opted out of Medicare · through Apr 1, 2027
3821 ATLANTIC AVE, SUITE D, LONG BEACH, CA 90807(562) 424-8666(562) 426-6189 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Wilson Faris Iii D.d.s. NPPES

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

DR. JOHN WILSON FARIS III D.D.S. (NPI 1255437265) is an individual general practice provider in Long Beach, California, licensed in California (21308) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255437265
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN WILSON FARIS IIICredential: D.D.S.
Location Address3821 ATLANTIC AVE, SUITE DLong Beach, CA 90807-3534
Mailing Address3821 Atlantic Ave, Suite DLong Beach, CA 90807-3534 · (562) 424-8666 · Fax (562) 426-6189
Fax(562) 426-6189
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255437265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 21308
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.

3821 ATLANTIC AVE, Long Beach, CA 90807

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. John Wilson Faris Iii D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Contractor
3821 ATLANTIC AVE, SUITE F
LONG BEACH, CA 90807
Acupuncturist
3821 ATLANTIC AVE, SUITE F
LONG BEACH, CA 90807
Specialist
3821 ATLANTIC AVE, SUITE F
LONG BEACH, CA 90807
Contractor
3821 ATLANTIC AVE, SUITE F
LONG BEACH, CA 90807

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 John Faris's NPI number?

The NPI number for John Faris is 1255437265. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is John Faris located?

John Faris practices at 3821 Atlantic Ave Suite D, Long Beach, CA 90807. The listed phone number is (562) 424-8666.

What is John Faris's specialty?

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

Is John Faris enrolled in Medicare?

No. John Faris has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Faris was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.