Active NPI
Dennis Falen, PA-C
- Medical Physician Assistant
- Moscow, ID
National Provider Identifier
1528501475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-1454
- Practice address
- 803 S Main St Ste 120
Moscow, ID 83843-2695 - Phone
- (509) 444-8888
- Fax
- (509) 444-7806
- NPI assigned
- Nov 27, 2016
- Last updated
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.PA.60708796 | WA | |
| Medical Physician Assistant | 363AM0700X | PA-1454 | ID | Primary |
Addresses
Primary practice location
803 S Main St Ste 120
Moscow, ID 83843-2695
Mailing address
203 N Washington St Ste 300
Spokane, WA 99201-0254
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.PA.60708796 | WA | MD | Medical Physician Assistant |
Interoperability endpoints
- dennis.falen.1@24259.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1528501475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N WASHINGTON ST STE 300",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010254",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S MAIN ST STE 120",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432695",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALEN",
"first_name": "DENNIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-27",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA.PA.60708796",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-1454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.