Active NPI
Martin Fernandez-Feo, D.D.S
- Dentist
- Doral, FL
National Provider Identifier
1154730984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 20834
- Practice address
- 7902 NW 36TH Street
Doral, FL 33166 - Phone
- (561) 324-7511
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- No
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 | DN 20834 | FL | Primary |
Addresses
Primary practice location
7902 NW 36TH Street
Doral, FL 33166
Mailing address
170 Ocean Lane Dr.
Apt 608
Key Biscayne, FL 33149
Phone (561) 324-7511
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 |
|---|---|---|---|
| DN 20834 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1154730984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 OCEAN LANE DR.",
"address_2": "APT 608",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "33149",
"telephone_number": "561-324-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7902 NW 36TH STREET",
"city": "DORAL",
"state": "FL",
"postal_code": "33166",
"telephone_number": "561-324-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-FEO",
"first_name": "MARTIN",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 20834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.