Individual provider Active NPI

Rajan D Faldu, D.M.D

  • General Practice Dentistry
  • Ft Washington, PA
National Provider Identifier
1265729776
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO038807 Issued in PA
Practice address
401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714
Phone
(267) 460-4254
Fax
(215) 646-6199
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 DSO038807 PA Primary

Addresses

Primary practice location

401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714

Mailing address

803 Mountain Home Rd
Suite 108
Sinking Spring, PA 19608-9319
Phone (267) 460-4254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160203001071 PA Order and Referring Only - DentistPractitioner - Dentist 1658675137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO038807PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1265729776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MOUNTAIN HOME RD",
            "address_2": "SUITE 108",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089319",
            "telephone_number": "267-460-4254",
            "fax_number": "215-646-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "267-460-4254",
            "fax_number": "215-646-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDU",
        "first_name": "RAJAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO038807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, PA

Sources for this page

Verify at the official NPI Registry.