Individual provider Active NPI

Ryan Robert Falke, DDS

  • Dentist
  • Reno, NV
National Provider Identifier
1295961829
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58325 Issued in CA
Practice address
757 W 7TH St Ste 102
Reno, NV 89503-3672
Phone
(775) 284-2500
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58325 CA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S1-136 NV

Addresses

Primary practice location

757 W 7TH St Ste 102
Reno, NV 89503-3672

Mailing address

757W 7TH St 102
Reno, NV 89503-3672
Phone (775) 329-2299

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
I20150901003479 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173839495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1-136NVMDOral and Maxillofacial Surgery (Dentist)
58325CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Myatt DDS LTD Oral and Maxillofacial Surgery Past Accepting new patients
NV Oral Surgery, LTD. Oral and Maxillofacial Surgery PastSince Nov 17, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1295961829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757W 7TH ST 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895033672",
            "telephone_number": "775-329-2299",
            "fax_number": "775-329-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 W 7TH ST STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895033672",
            "telephone_number": "775-284-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKE",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58325",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S1-136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.