Organization Active NPI

Falafulking Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1902344948
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31166 Issued in TX
Legal business name
FALAFULKING DENTAL PLLC
Practice address
4110 Fairmount St
2111
Dallas, TX 75219-3349
Phone
(954) 288-8582
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Dr. Zachary Ryan Kingsberg, DMDNPI 1497138697
Title
Owner Dentist
Phone
(954) 288-8582

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31166 TX Primary

Addresses

Primary practice location

4110 Fairmount St
2111
Dallas, TX 75219-3349

Mailing address

4110 Fairmount St
2111
Dallas, TX 75219-3349
Phone (954) 288-8582

National Provider Directory

National Provider Directory
Tax ID family
Falafulking Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1902344948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 FAIRMOUNT ST",
            "address_2": "2111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193349",
            "telephone_number": "954-288-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 FAIRMOUNT ST",
            "address_2": "2111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193349",
            "telephone_number": "954-288-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALAFULKING DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "KINGSBERG",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-288-8582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.