David Fernitz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1310 Shermer Rd
Ste 50
Northbrook, IL 60062-4579

Phone

(847) 272-0049

Fax

(847) 272-6474

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2016 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225232226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SHERMER RD",
            "address_2": "STE 50",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SHERMER RD",
            "address_2": "STE 50",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624579",
            "telephone_number": "847-272-0049",
            "fax_number": "847-272-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNITZ",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Felt, DDS
• Amanda Danielle Ferbrache
• Angela V Ferlauto, RBT
• Karen Fernandez, DPT
• Sarah Fernandez
• Alexis Ferreria
• Bailey Lynn Ferris
• Marilyn Joyce Fettner, LCPC
• Steven D Field, MD
• Catherine Figgers

• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, IL by specialty
• General Practice Dentistry in Illinois

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.