Organization Active NPI

Shalom Fialkoff DMD PLLC

  • General Practice Dentistry
  • Paradise Valley, AZ
National Provider Identifier
1689124018
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009065 Issued in AZ
Legal business name
SHALOM FIALKOFF DMD PLLC
Practice address
10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1097
Phone
(480) 998-7775
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Dr. Shalom Fialkoff, DMD
Title
Dentist
Phone
(480) 998-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D009065 AZ Primary

Addresses

Primary practice location

10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1097

Mailing address

10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1097
Phone (480) 998-7775

Other names 1

  • Paradise Valley Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1689124018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A104",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531097",
            "telephone_number": "480-998-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A104",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531097",
            "telephone_number": "480-998-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FIALKOFF DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "FIALKOFF",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-998-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.