Individual provider Active NPI

Wayne L Faulkner, DDS PA

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1205901071
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
BF7452648 Issued in FL
Practice address
8592 Potter Park Dr Ste 150
Sarasota, FL 34238-5468
Phone
(941) 298-0198
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X BF7452648 FL Primary

Addresses

Primary practice location

8592 Potter Park Dr Ste 150
Sarasota, FL 34238-5468

Mailing address

8592 Potter Park Dr Ste 150
Sarasota, FL 34238-5468
Phone (941) 298-0198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180723000455 FL Order and Referring Only - DentistPractitioner - Dentist 4183971161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1205901071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8592 POTTER PARK DR STE 150",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385468",
            "telephone_number": "941-298-0198",
            "fax_number": "941-298-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8592 POTTER PARK DR STE 150",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385468",
            "telephone_number": "941-298-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "BF7452648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.