Active NPI
Dennis R. Faulkner, M.D.
- Gynecology Physician
- Somerset, KY
National Provider Identifier
1831268572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 23151
- Practice address
- 347 Bogle St Ste a
Somerset, KY 42503-2873 - Phone
- (606) 679-7353
- NPI assigned
- Nov 7, 2006
- Last updated
- Aug 15, 2012
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 23151 | KY | Primary |
Addresses
Primary practice location
347 Bogle St Ste a
Somerset, KY 42503-2873
Mailing address
347 Bogle St Ste a
Somerset, KY 42503-2873
Phone (606) 679-7353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7423 | Other | MEDICARE GROUP | |
| 64231517 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecology Physician
- Somerset, KY
- NPI 1902928898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1831268572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 BOGLE ST STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032873",
"telephone_number": "606-679-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 BOGLE ST STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032873",
"telephone_number": "606-679-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "DENNIS",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KY",
"license": "23151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "7423",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64231517",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.