Individual provider Active NPI

Carmen Alicia Feoli, DDS

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1013199819
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18037 Issued in FL
Practice address
1490 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone
(305) 949-5252
Fax
(305) 949-5011
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 18037 FL Primary

Addresses

Primary practice location

1490 NE Miami Gardens Dr
North Miami Beach, FL 33179

Mailing address

1490 NE Miami Gardens Dr
North Miami Beach, FL 33179-4829
Phone (305) 949-5252

Other practice location 1

15645 Collins Ave Apt 803
North Miami beach, FL 33160
Phone (786) 258-1910

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

LicenseStateTypeSpecialty
DN 18037FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen a Feoli DDS PA Past Accepting new patients

Networks

  • FL HMO C-SNP
  • HealthSun Health Plans Network
  • FL HMO D-SNP

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1013199819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794829",
            "telephone_number": "305-949-5252",
            "fax_number": "305-949-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-949-5252",
            "fax_number": "305-949-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15645 Collins Ave Apt 803",
            "address_purpose": "LOCATION",
            "city": "North Miami beach",
            "state": "FL",
            "postal_code": "33160",
            "country_code": "US",
            "telephone_number": "786-258-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEOLI",
        "first_name": "CARMEN",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.