Individual provider Active NPI

Joseph Price Fallin, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1811143894
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3649 Issued in OK
Practice address
4301 NW 63Rd St
Suite 303
Oklahoma City, OK 73116-1549
Phone
(405) 848-2886
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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 3649 OK Primary

Addresses

Primary practice location

4301 NW 63Rd St
Suite 303
Oklahoma City, OK 73116-1549

Mailing address

4301 NW 63Rd St
Suite 303
Oklahoma City, OK 73116-1549
Phone (405) 848-2886

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
3649OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Derek R Cohlmia DDS PLLC Past Accepting new patients
Family Dental Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1811143894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "SUITE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-848-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "SUITE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-848-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIN",
        "first_name": "JOSEPH",
        "middle_name": "PRICE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.