Individual provider Active NPI

Reed Faldet, DDS

  • General Practice Dentistry
  • Charles City, IA
National Provider Identifier
1780243063
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09652 Issued in IA
Practice address
114 N Main St
Charles City, IA 50616-2015
Phone
(641) 228-1803
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09652 IA Primary

Addresses

Primary practice location

114 N Main St
Charles City, IA 50616-2015

Mailing address

114 N Main St
Charles City, IA 50616-2015
Phone (641) 228-1803

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

State licenses

LicenseStateTypeSpecialty
DDS-09652IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Dental, Inc. General Practice CurrentSince Jun 6, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

114 N Main St
Charles City, IA 50616
Phone (641) 228-1803

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1780243063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162015",
            "telephone_number": "641-228-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162015",
            "telephone_number": "641-228-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDET",
        "first_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.