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
- Last updated
- Jan 18, 2017
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.