Stacie Jeannelle Fechner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61616 Issued in KS

Practice address

13316 Metcalf Ave
Overland Park, KS 66213-2804

Phone

(913) 851-5110

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

Yes

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 KS

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

Practice roles

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.

• Overland Park Modern Dentistry PA

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1215367172
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1225697394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 W 65TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024105",
            "telephone_number": "314-651-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132804",
            "telephone_number": "913-851-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHNER",
        "first_name": "STACIE",
        "middle_name": "JEANNELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Faus
• Mychaela Fawson
• Jessie Nichole Fazel, APRN
• Nicole Marie Fearing, MD
• Breeanna Feauto
• Jason Alan Fechter, DC
• Erin Fecske, APN
• Heather Ranae Feden-McCarty, LMFT
• Derek Dale Feist
• Abigail Feldt

• Dentist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.