Active NPI
Istvan Felker, DDS
- Dentist
- Susanville, CA
National Provider Identifier
1215920715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49311
- Practice address
- 1850 Spring Ridge Dr
Northeastern Rural Health Center Suite H
Susanville, CA 96130-6100 - Phone
- (530) 251-5000
- NPI assigned
- Aug 30, 2005
- Reactivated
- Apr 9, 2009
- Last updated
- Jun 10, 2011
- 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 | 49311 | CA | Primary |
Addresses
Primary practice location
1850 Spring Ridge Dr
Northeastern Rural Health Center Suite H
Susanville, CA 96130-6100
Mailing address
1850 Spring Ridge Dr.
Northeastern Rulal Health Center
Susanville, CA 96130
Phone (530) 251-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310000426 | CA | Order and Referring Only - Dentist | 7810186491 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1215920715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SPRING RIDGE DR.",
"address_2": "NORTHEASTERN RULAL HEALTH CENTER",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "96130",
"telephone_number": "530-251-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SPRING RIDGE DR",
"address_2": "NORTHEASTERN RURAL HEALTH CENTER SUITE H",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961306100",
"telephone_number": "530-251-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELKER",
"first_name": "ISTVAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-06-10",
"deactivation_date": "2007-07-17",
"reactivation_date": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
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- Steven John Fish, D.D.S.
- Cheryl Anne Floyd
- Rhonda Marie Foley, LCSW, CATC
- Shirley Ann Foltz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.