Active NPI
Rajan D Faldu, D.M.D
- General Practice Dentistry
- Ft Washington, PA
National Provider Identifier
1265729776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DSO038807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160203001071 | PA | Order and Referring Only - Dentist | 1658675137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DSO038807 | PA | MD | General 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": []
}
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- Peter Lawrence Fath, MED, ATC
- Lucinda Judith Faulkner, CRNP
- Susan Fellheimer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.