Individual provider Active NPI

Tawana Denise Feimster, DDS, MS

  • Endodontics
  • Rock Hill, SC
National Provider Identifier
1013139500
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10325 Issued in SC
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

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 13851 MD
Endodontics 1223E0200X 0401412857 VA
Endodontics 1223E0200X 30833 TX
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621000576 TX Order and Referring Only - DentistPractitioner - Dentist 7113295841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30833TXMDPsychologist
13851MDMDEndodontist
0401412857VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.