Individual provider Active NPI

Rohn Falter, DDS

  • General Practice Dentistry
  • Centralia, WA
National Provider Identifier
1467421883
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8288 Issued in WA
Practice address
1716 S Gold St
Centralia, WA 98531-8951
Phone
(360) 623-1350
Fax
(360) 623-1353
NPI assigned
Mar 16, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8288 WA Primary

Addresses

Primary practice location

1716 S Gold St
Centralia, WA 98531-8951

Mailing address

1716 S Gold St
Centralia, WA 98531-8951
Phone (360) 623-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002124 WA Order and Referring Only - DentistPractitioner - Dentist 3476866997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8288WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rohn Falter DDS PS General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1467421883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 S GOLD ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318951",
            "telephone_number": "360-623-1350",
            "fax_number": "360-623-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 S GOLD ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318951",
            "telephone_number": "360-623-1350",
            "fax_number": "360-623-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTER",
        "first_name": "ROHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.