Active NPI
Niki Fallah, D.D.S
- Dentist
- San Francisco, CA
National Provider Identifier
1760799209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59779
- Practice address
- 707 Parnassus Ave
San Francisco, CA 94143-2210 - Phone
- (415) 476-3276
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 59779 | CA | Primary |
Addresses
Primary practice location
707 Parnassus Ave
San Francisco, CA 94143-2210
Mailing address
25 Panorama CT
Hillsborough, CA 94010-6230
Phone (650) 344-4466
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
Interoperability endpoints
- nfallah673338@hisp.ehr.sutterhealth.org
- nfallah24540@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1760799209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PANORAMA CT",
"city": "HILLSBOROUGH",
"state": "CA",
"postal_code": "940106230",
"telephone_number": "650-344-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432210",
"telephone_number": "415-476-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLAH",
"first_name": "NIKI",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.