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DR. FARAI KAMBASHA DDS
NPI 1730308958
Dentist in Rock Island, IL

Active since April 25, 2007PECOS Enrolled
4024 BLACKHAWK ROAD, ROCK ISLAND, IL 61201(309) 788-6689(309) 788-7238 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Farai Kambasha Dds NPPES

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

DR. FARAI KAMBASHA DDS (NPI 1730308958) is an individual dentist in Rock Island, Illinois and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730308958
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. FARAI KAMBASHACredential: DDS
Location Address4024 BLACKHAWK ROADRock Island, IL 61201
Mailing Address4024 Blackhawk RoadRock Island, IL 61201 · (309) 788-6689 · Fax (309) 788-7238
Phone(309) 788-6689
Fax(309) 788-7238
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730308958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4024 BLACKHAWK ROAD, Rock Island, IL 61201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Farai Kambasha Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61201 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

LIFETIME DENTAL CARE OF ILLINOIS, PC
Dentist (General Practice)
4024 BLACKHAWK ROAD
ROCK ISLAND, IL 61201
Rock Island County (309) 788-6689
DR. PETE PIROG DMD
Dentist
4024 BLACKHAWK ROAD
ROCK ISLAND, IL 61201
Rock Island County (309) 788-6689

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 Farai Kambasha's NPI number?

The NPI number for Farai Kambasha is 1730308958. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Farai Kambasha located?

Farai Kambasha practices at 4024 Blackhawk Road, Rock Island, IL 61201. The listed phone number is (309) 788-6689.

What is Farai Kambasha's specialty?

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

Is Farai Kambasha enrolled in Medicare?

Yes. Farai Kambasha is registered in the Medicare PECOS enrollment system.

What insurance does Farai Kambasha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Farai Kambasha 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 Farai Kambasha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.