Falk Oral & Facial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FALK ORAL & FACIAL SURGERY, PLLC

Practice address

6200 North Durango Drive
Suite 100
Las Vegas, NV 89149-4408

Phone

(702) 660-5574

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Jesse Falk, DMDNPI 1285924605

Title

Owner

Phone

(702) 660-5574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Falk Oral Facial Surgery 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.

• Falk Oral & Facial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1730629767
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Falk, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1285924605
  Medicare reassignment Care Compare group NPD Authorized official
• Michael S Moody, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1760739825
  Medicare reassignment Care Compare group NPD
• Jeffrey A Sorensen, MD

  • Otolaryngology Physician
  • Nellis Afb, NV
  • NPI 1578805651
  Medicare reassignment Care Compare group NPD
• Robert Yau, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1679971790
  Medicare reassignment Care Compare group NPD
• Anna X Tsai, MD

  • Otolaryngology Physician
  • NPI 1578880290

  NV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1922489350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 NORTH DURANGO DRIVE BUILDING #12",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 NORTH DURANGO DRIVE",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494408",
            "telephone_number": "702-660-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 S Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891353017",
            "country_code": "US",
            "telephone_number": "702-660-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALK ORAL & FACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-660-5574",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Falconer
• Precious Eloise Falconer
• Steven C Fales, MD
• Bradley Faliks, M.D.
• Falk Oral & Facial Surgery, PLLC
• Jesse Falk, D.M.D
• Viviana Falk
• Catherine Falkenhagen
• Bobra Falkner
• Jody Falkowitz

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.