Active NPI
Dara Nicole Feinman, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1144637331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D009019 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiley Kids Dental PLLC | Dentist | Current | Accepting new patients |
| Thunderbird Dental Smiles LLC | Past | 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.
-
- Dentist
- Phoenix, AZ
- NPI 1497543110
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1336781012
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.