NPIMap

Organization Active NPI

Fallon Family Dental Care

  • Dentist
  • Fallon, NV
National Provider Identifier
1801223540
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5894 Issued in NV
Legal business name
FALLON FAMILY DENTAL CARE
Practice address
300 W a St
Fallon, NV 89406-2947
Phone
(775) 423-5213
Fax
(775) 423-9602
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Cary JaquesNPI 1326244757
Title
Partner
Phone
(775) 423-5213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5894 NV Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

300 W a St
Fallon, NV 89406-2947

Mailing address

300 W a St
Fallon, NV 89406-2947
Phone (775) 423-5213

National Provider Directory

National Provider Directory

Locations

300 W A St
Fallon, NV 89406
Phone (775) 423-5213

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1801223540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W A ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062947",
            "telephone_number": "775-423-5213",
            "fax_number": "775-423-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W A ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062947",
            "telephone_number": "775-423-5213",
            "fax_number": "775-423-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "775-423-5213"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5894",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.