EVAN FARR D.D.S INC
NPI 1598903122
Dentist in North Hollywood, CA

Active since February 04, 2009
12115 SATICOY ST, NORTH HOLLYWOOD, CA 91605(818) 759-1001 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Evan Farr D.d.s Inc NPPES

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

EVAN FARR D.D.S INC (NPI 1598903122) is a healthcare organization registered as a dentist in North Hollywood, California and active in the NPI registry since February 2009. The organization lists Eavn Farr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598903122
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVAN FARR D.D.S INC
Location Address12115 SATICOY STNorth Hollywood, CA 91605-3025
Mailing Address23705 Vanowen St # 308West Hills, CA 91307-3030 · (818) 521-4049
Organization SubpartNo
Authorized OfficialEavn FarrCeo · (818) 521-4049
Enumeration DateFebruary 4, 2009
Last NPPES UpdateApril 17, 2009
✔ NPI 1598903122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 49261
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12115 SATICOY ST, North Hollywood, CA 91605

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Farr D.d.s Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140508000993Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evan Farr D.D.S Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Oral Surgery
NPI 1699821017
12115 SATICOY ST
North Hollywood, CA 91605
(818) 521-4049
✔ PECOSSame address
Oral Surgery
NPI 1033450721
269 S BEVERLY DR STE 914
Beverly Hills, CA 90212
(310) 853-8491
✔ PECOS10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evan Farr D.D.S Inc's NPI number?

The NPI number for Evan Farr D.D.S Inc is 1598903122. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is Evan Farr D.D.S Inc located?

Evan Farr D.D.S Inc is located at 12115 Saticoy St, North Hollywood, CA 91605. The listed phone number is (818) 759-1001.

What is Evan Farr D.D.S Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Evan Farr D.D.S Inc enrolled in Medicare?

Yes. Evan Farr D.D.S Inc is registered in the Medicare PECOS enrollment system.

When is Evan Farr D.D.S Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Evan Farr D.D.S Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Evan Farr D.D.S Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evan Farr D.D.S Inc was last updated on April 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.