Active NPI
Tawana Denise Feimster, DDS, MS
- Endodontics
- Rock Hill, SC
National Provider Identifier
1013139500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 10325
- Practice address
- 775 Addison Dr Ste 111
Rock Hill, SC 29730-7061 - Phone
- (980) 316-7109
- Fax
- (980) 939-0170
- NPI assigned
- May 3, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 13851 | MD | |
| Endodontics | 1223E0200X | 0401412857 | VA | |
| Endodontics | 1223E0200X | 30833 | TX | |
| Endodontics | 1223E0200X | 10325 | SC | Primary |
Addresses
Primary practice location
775 Addison Dr Ste 111
Rock Hill, SC 29730-7061
Mailing address
775 Addison Dr Ste 111
Rock Hill, SC 29730-7061
Phone (980) 316-7109
Other practice location 1
6750 West Loop S Ste 325
Bellaire, TX 77401-4117
Phone (832) 980-7727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170621000576 | TX | Order and Referring Only - Dentist | 7113295841 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30833 | TX | MD | Psychologist |
| 13851 | MD | MD | Endodontist |
| 0401412857 | VA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tawana Feimster, DDS, Ms, PLLC | Endodontics | Current | Accepting new patients |
Locations
775 Addison Dr
Ste 111
Rock Hill, SC 29730
Phone (803) 659-3899
6750 West Loop S
Ste 325
Bellaire, TX 77401
Phone (713) 218-9911
Organizations & group practices 1
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.
-
- Endodontics
- Rock Hill, SC
- NPI 1609372440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1013139500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 ADDISON DR STE 111",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297307061",
"telephone_number": "980-316-7109",
"fax_number": "980-939-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 ADDISON DR STE 111",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297307061",
"telephone_number": "980-316-7109",
"fax_number": "980-939-0170"
}
],
"practiceLocations": [
{
"address_1": "6750 West Loop S Ste 325",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774014117",
"country_code": "US",
"telephone_number": "832-980-7727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIMSTER",
"first_name": "TAWANA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "13851",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401412857",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "30833",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "10325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.