Active NPI
Paul David Falkenstein, PAC
- Physician Assistant
- Fairfax, VA
National Provider Identifier
1558337048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-840389
- Practice address
- 4080 Chain Bridge Road
Public Safety Occupational Health Center
Fairfax, VA 22030 - Phone
- (703) 246-4949
- Fax
- (703) 352-0217
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-840389 | VA | Primary |
Addresses
Primary practice location
4080 Chain Bridge Road
Public Safety Occupational Health Center
Fairfax, VA 22030
Mailing address
4080 Chain Bridge Road
Public Safety Occupational Health Center
Fairfax, VA 22030
Phone (703) 246-4949
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-840389 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1558337048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 CHAIN BRIDGE ROAD",
"address_2": "PUBLIC SAFETY OCCUPATIONAL HEALTH CENTER",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-246-4949",
"fax_number": "703-352-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 CHAIN BRIDGE ROAD",
"address_2": "PUBLIC SAFETY OCCUPATIONAL HEALTH CENTER",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-246-4949",
"fax_number": "703-352-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALKENSTEIN",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-840389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.