Active NPI
Alfred M Faulkner DO PC
- Orthopaedic Trauma Physician
- Dearborn, MI
National Provider Identifier
1568567006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- Legal business name
- ALFRED M FAULKNER DO PC
- Practice address
- 21031 Michigan Ave
Dearborn, MI 48124-2339 - Phone
- (313) 277-3585
- Fax
- (313) 277-2483
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred M Faulkner, DO
- Title
- Orthopedic Surgeon President
- Phone
- (313) 277-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | MI | Primary |
Addresses
Primary practice location
21031 Michigan Ave
Dearborn, MI 48124-2339
Mailing address
21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 277-3585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1568567006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-277-3585",
"fax_number": "313-277-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-277-3585",
"fax_number": "313-277-2483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFRED M FAULKNER DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FAULKNER",
"authorized_official_first_name": "ALFRED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ORTHOPEDIC SURGEON PRESIDENT",
"authorized_official_telephone_number": "313-277-6700",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.