Active NPI
Andrew Faulk, DDS
- Pediatric Dentistry
- Sherrills Ford, NC
National Provider Identifier
1790677854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14322
- Practice address
- 7934 Bradley Long Dr
Sherrills Ford, NC 28673-9004 - Phone
- (828) 481-4624
- NPI assigned
- Jul 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 14322 | NC | Primary |
Addresses
Primary practice location
7934 Bradley Long Dr
Sherrills Ford, NC 28673-9004
Mailing address
7934 Bradley Long Dr
Sherrills Ford, NC 28673-9004
Phone (828) 481-4624
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14322 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | Current | Accepting new patients |
Locations
7934 Bradley Long Dr
Sherrills Ford, NC 28673
Phone (828) 481-4624
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Sherrills Ford, NC
- NPI 1578171245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1790677854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7934 BRADLEY LONG DR",
"city": "SHERRILLS FORD",
"state": "NC",
"postal_code": "286739004",
"telephone_number": "828-481-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7934 BRADLEY LONG DR",
"city": "SHERRILLS FORD",
"state": "NC",
"postal_code": "286739004",
"telephone_number": "828-481-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "ANDREW",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "14322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherrills Ford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.