Individual provider Active NPI

Dara Nicole Feinman, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1144637331
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009019 Issued in AZ
Practice address
1820 W Thunderbird Rd Ste 1
Phoenix, AZ 85023-6300
Phone
(602) 993-6080
NPI assigned
Jul 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009019 AZ Primary

Addresses

Primary practice location

1820 W Thunderbird Rd Ste 1
Phoenix, AZ 85023-6300

Mailing address

4545 W Beardsley Rd
Apt 2091
Glendale, AZ 85308-5014
Phone (201) 788-5623

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
D009019AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiley Kids Dental PLLC Dentist Current Accepting new patients
Thunderbird Dental Smiles LLC PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 2

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": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405728000000",
    "number": "1144637331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 W BEARDSLEY RD",
            "address_2": "APT 2091",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085014",
            "telephone_number": "201-788-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W THUNDERBIRD RD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236300",
            "telephone_number": "602-993-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINMAN",
        "first_name": "DARA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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.