Active NPI
Shalom Fialkoff DMD PLLC
Doing business as Paradise Valley Dental
- General Practice Dentistry
- Paradise Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009065
- Legal business name
- SHALOM FIALKOFF DMD PLLC
- Doing business as
- Paradise Valley Dental
- Practice address
- 10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1097 - Phone
- (480) 998-7775
- NPI assigned
- Oct 10, 2016
- Last updated
- Oct 10, 2016
- 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
- Dr. Shalom Fialkoff, DMD
- Title
- Dentist
- Phone
- (480) 998-7775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Paradise Valley, AZ
- NPI 1568862092
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.