Parker Lee Falkenberg, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

00204742 Issued in CO

Practice address

640 Terry St
Longmont, CO 80501-4936

Phone

(303) 776-0633

NPI assigned

Jun 3, 2021

Last updated

May 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Longmont Dental Care

  • Dental Clinic/Center
  • Longmont, CO
  • NPI 1154076800
  NPD Authorized official
• Integrated Dental Arts PLLC

  dba Integrated Dental Arts

  • Dentist
  • Greeley, CO
  • NPI 1508433160
  NPD (past)
• Taher Dhoon DMD PLLC

  dba Greeley Dental Care

  • Dentist
  • Greeley, CO
  • NPI 1821548330
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1023684503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014936",
            "telephone_number": "303-776-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014936",
            "telephone_number": "303-776-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKENBERG",
        "first_name": "PARKER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care Center of Northern Colorado, PC
• Eye Center of the Rockies PC
• Timothy Thomas Fahy, PHARM. D
• Mary E Faini, MD
• Davis Falcon
• Cynthia C Fall, LCSW
• Family Chiropractic Clinic P.C.
• Family Wellness and Play Therapy
• Family, Health, and Sports Chiropractic
• Hannah Fanucchi, MD

• Dentist in Longmont, CO
• Providers in Longmont, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.