Individual provider Active NPI

Allyson K Falk, D.D.S.

  • Dentist
  • Clarksburg, NJ
National Provider Identifier
1114368230
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02543900 Issued in NJ
Practice address
15 Carrs Tavern Road
Clarksburg, NJ 08510
Phone
(609) 259-1253
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02543900 NJ Primary

Addresses

Primary practice location

15 Carrs Tavern Road
Clarksburg, NJ 08510

Mailing address

15 Carrs Tavern Road
Clarksburg, NJ 08510
Phone (609) 259-1253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20220404000442 NJ Practitioner - Dentist 9739596701 Practice locations: Clarksburg, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1114368230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARRS TAVERN ROAD",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "08510",
            "telephone_number": "609-259-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARRS TAVERN ROAD",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "08510",
            "telephone_number": "609-259-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "ALLYSON",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02543900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, NJ

Sources for this page

Verify at the official NPI Registry.