Individual provider Active NPI

Jesse Falk, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
National Provider Identifier
1285924605
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S2-139 Issued in NV
Practice address
6200 N Durango Dr
Suite 100
Las Vegas, NV 89138
Phone
(702) 606-4954
NPI assigned
Apr 19, 2011
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S2-139 NV Primary

Addresses

Primary practice location

6200 N Durango Dr
Suite 100
Las Vegas, NV 89138

Mailing address

6200 N Durango Dr Ste 100
Las Vegas, NV 89149-3939
Phone (702) 660-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230606002494 NV Practitioner - Oral Surgery 0345607396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Nevada, Las Vegas School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Falk Oral and Facial Surgery PLLCGroup PAC ID 9436516481, 5 clinicians

Practice addresses (Care Compare)

6200 N Durango Dr
Suite 100
Las Vegas, NV 89149-3939
Phone (702) 660-5574

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S2-139NVMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Falk Oral & Facial Surgery, PLLC Oral and Maxillofacial Surgery Current Accepting new patients
Falk Oral & Facial Surgery, PLLC Oral and Maxillofacial Surgery CurrentSince Jan 28, 2023 Accepting new patients
Canyon Surgical Specialists LLC Current Accepting new patients

Locations

3635 S Town Center Dr
Las Vegas, NV 89135
Phone (702) 660-5574

6200 N Durango Dr
Ste 100
Las Vegas, NV 89149
Phone (702) 606-4954

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1285924605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493939",
            "telephone_number": "702-660-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N DURANGO DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89138",
            "telephone_number": "702-606-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "JESSE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.