Individual provider Active NPI

Barry Duane Feldner, DDS, MS

  • Periodontics
  • Kearney, NE
National Provider Identifier
1205048261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5663 Issued in NE
Practice address
3000 2ND Ave
Suite 218
Kearney, NE 68847-3571
Phone
(308) 237-0100
Fax
(308) 237-0770
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5663 NE Primary

Addresses

Primary practice location

3000 2ND Ave
Suite 218
Kearney, NE 68847-3571

Mailing address

3000 2ND Ave
Suite 218
Kearney, NE 68847-3571
Phone (308) 237-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20130627000729 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537309349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5663NEMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205048261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 2ND AVE",
            "address_2": "SUITE 218",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473571",
            "telephone_number": "308-237-0100",
            "fax_number": "308-237-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 2ND AVE",
            "address_2": "SUITE 218",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473571",
            "telephone_number": "308-237-0100",
            "fax_number": "308-237-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDNER",
        "first_name": "BARRY",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.