Active NPI
Connie X Feng, DDS
- Dentist
- Apex, NC
National Provider Identifier
1003221540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9797
- Practice address
- 9776 Holly Springs Rd
Apex, NC 27539 - Phone
- (919) 863-3933
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9797 | NC | Primary |
Addresses
Primary practice location
9776 Holly Springs Rd
Apex, NC 27539
Mailing address
2011 Greyhawk PL
Apex, NC 27539-9312
Phone (919) 260-0848
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9797 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elise Brace, DMD, PA | Past | Accepting new patients | |
| Connie Feng, DDS, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Apex, NC
- NPI 1730624271
-
- General Practice Dentistry
- Apex, NC
- NPI 1407691579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1003221540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 GREYHAWK PL",
"city": "APEX",
"state": "NC",
"postal_code": "275399312",
"telephone_number": "919-260-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9776 HOLLY SPRINGS RD",
"city": "APEX",
"state": "NC",
"postal_code": "27539",
"telephone_number": "919-863-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENG",
"first_name": "CONNIE",
"middle_name": "X",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.