Hassan Falsafi, DMD

Individual provider Active NPI General Practice Dentistry · Woodside, CA

NPI 1891335618 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1891335618
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
62174 (CA)
Practice address
255 Woodside Dr
Woodside, CA 94062-2353
Phone
(650) 407-8611
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240719001687 CA Order and Referring Only - Dentist
Practitioner - Dentist
4688110240

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62174 CA Yes

Addresses

Primary practice location

255 Woodside Dr
Woodside, CA 94062-2353

Mailing address

255 Woodside Dr
Woodside, CA 94062-2353

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address hfalsafi1@icloud.com

Other providers in Woodside, CA

All providers in Woodside, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.