Organization Active NPI

Falke Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Reno, NV
National Provider Identifier
1366066904
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
FALKE ORAL & FACIAL SURGERY, LLC
Practice address
475 Somersett Pkwy Ste B
Reno, NV 89523-4924
Phone
(775) 284-2500
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Ryan Falke
Title
DDS
Phone
(775) 284-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

475 Somersett Pkwy Ste B
Reno, NV 89523-4924

Mailing address

3605 Grant Dr
Reno, NV 89509-5301
Phone (775) 409-4614

Other identifiers 1

IdentifierTypeStateIssuer
1295961829OtherINDIVIDUAL NPI

Other names 1

  • Sierra Oral & Facial Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drfalk@sierraoralsurgery.com

National Provider Directory

National Provider Directory

Locations

475 Somersett Pkwy
Ste B
Reno, NV 89523
Phone (775) 284-2500

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1366066904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614",
            "fax_number": "775-376-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SOMERSETT PKWY STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234924",
            "telephone_number": "775-284-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALKE ORAL & FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "FALKE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "775-284-2500"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1295961829",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drfalk@sierraoralsurgery.com",
            "affiliation": "N",
            "address_1": "475 Somersett Pkwy Ste B",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895234924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sierra Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.