Feonia Farrah Kearby, R.D.H

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1002971-16 Issued in WI

Practice address

111 Springhall Dr
Goose Creek, SC 29445-5351

Phone

(866) 773-3534

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Feonia Farrah Ferril Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1083163984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332186",
            "telephone_number": "414-288-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455351",
            "telephone_number": "866-773-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARBY",
        "first_name": "FEONIA",
        "middle_name": "FARRAH",
        "name_prefix": "Mrs.",
        "credential": "R.D.H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2023-04-10",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020015474",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1002971-16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390806251",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORWARD HEALT",
            "identifier": "390806251",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEONIA",
            "last_name": "FERRIL",
            "middle_name": "FARRAH",
            "prefix": "MISS",
            "credential": "R.D.H",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Jordan
• Tricia Joseph
• Diane Juras, O.D.
• Cathy Kahrs
• Kathleen Grabowski
• Monica Deleah Keen, MS, ORT/L
• Keith Bryan Flynn DMD PA
• Carolyn S Kelly
• Andrea Lynn Kennedy, MS, OTR/L
• Debra Liana Kerness, LISW-CP

• Dental Hygienist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Dental Hygienist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.