Active NPI
Jasmina Hirenkumar Faldu
- Dentist
- Whitehall, PA
National Provider Identifier
1326558032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040999
- Practice address
- 2180 Macarthur Rd
Whitehall, PA 18052-4535 - Phone
- (610) 437-1800
- NPI assigned
- Oct 7, 2017
- Last updated
- Dec 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040999 | PA | Primary |
Addresses
Primary practice location
2180 Macarthur Rd
Whitehall, PA 18052-4535
Mailing address
350 N Clark St Ste 600
Chicago, IL 60654-4782
Phone (312) 274-4526
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 |
|---|---|---|---|---|
| I20171128001838 | PA | Order and Referring Only - Dentist | 9436416542 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040999 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1326558032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLARK ST STE 600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544782",
"telephone_number": "312-274-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 MACARTHUR RD",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180524535",
"telephone_number": "610-437-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALDU",
"first_name": "JASMINA",
"middle_name": "HIRENKUMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-07",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, PA
- Evolve RX LLC (Zephyr Pharmacy)
- Evolve RX LLC (Zephyr Pharmacy)
- Kristen Marie Fahey, O.D.
- Karen Krause Fairchild, RN, MSN, FNP-BC
- Stephanie A Falcone, MT-BC
- Emily Flood
- Kayon Kimberlee Forbes, BS
- Taylor Foster, PT, DPT
- Lora Marie Francis, PA-C
- Fresenius Medical Care Comprehensive CKD Services Inc (CKD Services of Fullerton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.