Jack Howard Feuerstein, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042398-1 Issued in NY

Practice address

2566 Sheridan Dr
Tonawanda, NY 14150-9412

Phone

(716) 871-9511

Fax

(716) 871-8224

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1043374531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509412",
            "telephone_number": "716-871-9511",
            "fax_number": "716-871-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509412",
            "telephone_number": "716-871-9511",
            "fax_number": "716-871-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUERSTEIN",
        "first_name": "JACK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042398-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02745357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fca of Wny, Inc
• Federico Gonzalez-Doldan, M.D., P.C.
• Santhiapillai Fernando, MD
• Erin Ferrante, LMT
• Jamie Nicole Fery, PHARMD
• Mark Simon Finkelstein, D.P.M.
• Sarah Finn
• Kearsten Fish, PT DPT
• Jessica Maureen Fitzpatrick, LMSW
• Flandreau Family Health NP, PLLC

• General Practice Dentistry in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.