Individual provider Active NPI

Susan Fallahi, D.D.S.

  • Pediatric Dentistry
  • New Orleans, LA
National Provider Identifier
1043440365
Registry record updated Oct 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6259 Issued in LA
Practice address
3715 Prytania St Ste 380
New Orleans, LA 70115-3762
Phone
(504) 896-7435
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.023083 OH
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6259 LA Primary

Addresses

Primary practice location

3715 Prytania St Ste 380
New Orleans, LA 70115-3762

Mailing address

422 S Cortez St
New Orleans, LA 70119-6903
Phone (513) 550-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.023083OHMDDentist
6259LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1043440365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S CORTEZ ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196903",
            "telephone_number": "513-550-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST STE 380",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153762",
            "telephone_number": "504-896-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAHI",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023083",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; 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.