Organization Active NPI

Faulk Dental Associates, P.a.

  • Dentist
  • Pikesville, MD
National Provider Identifier
1003969940
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7726 Issued in MD
Legal business name
FAULK DENTAL ASSOCIATES, P.A.
Practice address
31 Walker Avenue, Suite 110
Pikesville, MD 21208
Phone
(410) 486-2603
Fax
(410) 486-2605
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brenda Joyce Faulk, D.D.SNPI 1306187026
Title
Owner & Ceo
Phone
(410) 486-2603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7726 MD Primary

Addresses

Primary practice location

31 Walker Avenue, Suite 110
Pikesville, MD 21208

Mailing address

31 Walker Avenue, Suite 110
Pikesville, MD 21208
Phone (410) 486-2603

National Provider Directory

National Provider Directory

Locations

31 Walker Ave
Ste 110
Pikesville, MD 21208
Phone (410) 486-2603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1003969940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WALKER AVENUE, SUITE 110",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-486-2603",
            "fax_number": "410-486-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVENUE, SUITE 110",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-486-2603",
            "fax_number": "410-486-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULK DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "410-486-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "7726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.