Falk Oral & Facial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FALK ORAL & FACIAL SURGERY, PLLC

Practice address

6200 N Durango Dr Ste 100
Las Vegas, NV 89149-3916

Phone

(702) 660-5574

NPI assigned

Feb 23, 2017

Reactivated

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Jesse Falk, DMDNPI 1285924605

Title

Owner

Phone

(702) 660-5574

Specialties & licenses 2

Addresses

Tax ID family

Falk Oral Facial Surgery PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Falk Oral & Facial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1922489350
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Falk, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1285924605
  NPD Authorized official

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1730629767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493916",
            "telephone_number": "702-660-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493916",
            "telephone_number": "702-660-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 S Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891353017",
            "country_code": "US",
            "telephone_number": "702-660-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 E Centennial Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890815605",
            "country_code": "US",
            "telephone_number": "702-991-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALK ORAL & FACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "deactivation_date": "2020-09-30",
        "reactivation_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-660-5574",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Falcone
• Jimmy Falconer
• Precious Eloise Falconer
• Steven C Fales, MD
• Bradley Faliks, M.D.
• Falk Oral & Facial Surgery, PLLC
• Jesse Falk, D.M.D
• Viviana Falk
• Catherine Falkenhagen
• Bobra Falkner

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.