Eric Alan Feaster, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36339 Issued in TX

Practice address

4701 N Galloway Ave Ste 110
Mesquite, TX 75150-7533

Phone

(214) 269-5458

NPI assigned

Jul 26, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevate Dental Care PLLC

  • Dentist
  • Mesquite, TX
  • NPI 1073394581
  NPD Authorized official
• Mansfield Smiles and Orthodontics, PC

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1578846218
  NPD (past)

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1124637137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N GALLOWAY AVE STE 110",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507533",
            "telephone_number": "214-269-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N GALLOWAY AVE STE 110",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507533",
            "telephone_number": "214-269-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Fasano, PA
• Fastpass Ucc, PLLC
• Fastpass Ucm, PLLC
• Josephine Nadette Faulkner, NP
• Maryam Fazal, DMD
• Lilo Felton, PMHNP-BC
• Douglas Bismark Ferguson, MD
• Martha S Fernandez
• Osleidy Fernandez
• Ronald O Fernandez, P.T.

• Dentist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.