Dental Health Center, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

10404 Issued in MN

Legal business name

DENTAL HEALTH CENTER, DDS, PA

Practice address

19645 Pilot Knob Rd
Farmington, MN 55024-7239

Phone

(651) 463-2300

Fax

(651) 463-2118

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Jon S Falkowski, DDSNPI 1841351533

Title

Dentist Owner

Phone

(651) 463-2300

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Stanley Falkowski, D.D.S.

  • Dentist
  • Apple Valley, MN
  • NPI 1841351533
  Medicare reassignment NPD Authorized official
• Jonathan Joseph Falkowski, DDS

  • Dentist
  • Apple Valley, MN
  • NPI 1871796300
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1467405456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19645 PILOT KNOB RD",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247239",
            "telephone_number": "651-463-2300",
            "fax_number": "651-463-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19645 PILOT KNOB RD",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247239",
            "telephone_number": "651-463-2300",
            "fax_number": "651-463-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CENTER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "FALKOWSKI",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "651-463-2300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8018",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10404",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSIST",
            "identifier": "691375000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Cory
• Crisis Bridge Health Services LLC
• Kym C Dall'Amore, DCM
• Diane Marie Dau, R.N.
• Define Supports Professional Organization
• Shelley E Dotson, M.D.
• Linden K Dungy, D.D.S.
• Ashley Amber Ellefson, REGISTERED NURSE
• Joseph Samuel Emond Jr., M.D.
• Amanda Marie Everhart, M.D.

• Dentist in Farmington, MN
• Providers in Farmington, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.