Dawn Marie Felicetti, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

048223 Issued in NY

Practice address

1035 Park Blvd
Suite 1-a
Massapequa Park, NY 11762

Phone

(516) 798-9184

Fax

(516) 795-8612

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dfelicetti133730@nyumc.direct-ci.com

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.

• Park Dental LLP

  • General Practice Dentistry
  • Massapequa Park, NY
  • NPI 1972655512
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154537314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 1-A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-798-9184",
            "fax_number": "516-795-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 1-A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-798-9184",
            "fax_number": "516-795-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICETTI",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "048223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Farrell
• Melissa Rosalie Fauvell
• Maureen Feasler
• Diana Marie Fede, TEACHER
• Geraldine Anne Fedoronko
• Jeffrey D Felicetti, D.D.S.
• Jessica Feliciano
• Maureen Fennell, OTR/L
• Arthur Herbert Fisher, M.D.
• Genevieve Hope Fishman

• Pediatric Dentistry in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.