Active NPI
Kadene Kimani Falconer, DDS
- Dentist
- Gallatin, TN
National Provider Identifier
1316551120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11373
- Practice address
- 651 Pace St
Gallatin, TN 37066-2167 - Phone
- (407) 757-4201
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10519 | KY | |
| Dentist | 122300000X | 11373 | TN | Primary |
Addresses
Primary practice location
651 Pace St
Gallatin, TN 37066-2167
Mailing address
651 Pace St
Gallatin, TN 37066-2167
Phone (407) 757-4201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11373 | TN | MD | Dentist |
| 10519 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1316551120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 PACE ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662167",
"telephone_number": "407-757-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 PACE ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662167",
"telephone_number": "407-757-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCONER",
"first_name": "KADENE",
"middle_name": "KIMANI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10519",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.