Active NPI
Feiler Dental Associates, LLC
- General Practice Dentistry
- Nutley, NJ
National Provider Identifier
1053523332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FEILER DENTAL ASSOCIATES, LLC
- Practice address
- 187 Chestnut St
Nutley, NJ 07110-2311 - Phone
- (973) 661-3368
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Feiler, D.M.D.
- Title
- Owner
- Phone
- (973) 661-3368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
187 Chestnut St
Nutley, NJ 07110-2311
Mailing address
187 Chestnut St
Nutley, NJ 07110-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140724000157 | NJ | Part B Supplier - Clinic/Group Practice | 6800071853 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: River Edge, NJ |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Dentistry
- River Edge, NJ
- NPI 1285846550
O20140724000157
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376352000000",
"number": "1053523332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 CHESTNUT ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071104320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CHESTNUT ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102311",
"telephone_number": "973-661-3368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEILER DENTAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2013-08-13",
"status": "A",
"authorized_official_last_name": "FEILER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-661-3368",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.