Individual provider Active NPI

Matthew Alex Falk, AU.D.

  • Audiologist
  • Pierre, SD
National Provider Identifier
1417593153
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1036-A Issued in SD
Practice address
740 E Sioux Ave Ste 102
Pierre, SD 57501-3395
Phone
(605) 494-0373
NPI assigned
Nov 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1036-A SD
Audiologist 231H00000X 1036-A SD Primary

Addresses

Primary practice location

740 E Sioux Ave Ste 102
Pierre, SD 57501-3395

Mailing address

740 E Sioux Ave Ste 102
Pierre, SD 57501-3395
Phone (605) 494-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409000506 SD Practitioner - Qualified Audiologist 1355770504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Hearing LLCGroup PAC ID 4587093729, 2 clinicians

Practice addresses (Care Compare)

740 E Sioux Ave
Suite 102
Pierre, SD 57501-3395
Phone (605) 216-5775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1036-ASDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Hearing, LLC Audiologist CurrentSince Jan 20, 2020 Accepting new patients

Locations

740 E Sioux Ave
Ste 102
Pierre, SD 57501
Phone (605) 216-5775

Organizations & group practices 1

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1417593153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E SIOUX AVE STE 102",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013395",
            "telephone_number": "605-494-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E SIOUX AVE STE 102",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013395",
            "telephone_number": "605-494-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "MATTHEW",
        "middle_name": "ALEX",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SD",
            "license": "1036-A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SD",
            "license": "1036-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.