Jon Stanley Falkowski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8108 Issued in MN

Practice address

15875 Emperor Ave
Apple Valley, MN 55124-7860

Phone

(651) 463-2300

Fax

(651) 463-2118

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dental Health Center, DDS, PA

  • Dentist
  • Farmington, MN
  • NPI 1467405456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1841351533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 8TH ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241438",
            "telephone_number": "651-463-2300",
            "fax_number": "651-463-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 EMPEROR AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247860",
            "telephone_number": "651-463-2300",
            "fax_number": "651-463-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKOWSKI",
        "first_name": "JON",
        "middle_name": "STANLEY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "840718500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Express Mobility of Minnesota
• Fairview Clinics (Fairview Clinics-Apple Valley)
• Fairview Pharmacy Services LLC (Fairview Cedar Ridge Pharmacy)
• Fairview Pharmacy Services LLC (Fairview Apple Valley Clinic MTM)
• Latonya April Fakir, MA
• Jonathan Joseph Falkowski, DDS
• Kevin Fanning, PT, DPT
• Jama Farah
• Omar Farah
• Fardullah Health

• Dentist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.