Active NPI
Robert Bruce Felsenfeld, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Dearborn, MI
National Provider Identifier
1235109349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- RF013449
- Practice address
- 22731 Newman St
Suite 240
Dearborn, MI 48124-3852 - Phone
- (313) 562-1515
- Fax
- (313) 562-7439
- NPI assigned
- Jan 23, 2006
- Last updated
- Sep 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | RF013449 | MI | Primary |
Addresses
Primary practice location
22731 Newman St
Suite 240
Dearborn, MI 48124-3852
Mailing address
22731 Newman St
Suite 240
Dearborn, MI 48124-2034
Phone (313) 562-1515
Other names 1
- Dr. Robert Bruce Felsenfeld
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080401000323 | MI | Practitioner - Maxillofacial Surgery | 3072699057 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RF013449 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Surgery Group PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Dearborn, MI
- NPI 1457523714
-
- Oral and Maxillofacial Surgery (Dentist)
- Dearborn, MI
- NPI 1154204170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1235109349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22731 NEWMAN ST",
"address_2": "SUITE 240",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242034",
"telephone_number": "313-562-1515",
"fax_number": "313-562-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22731 NEWMAN ST",
"address_2": "SUITE 240",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243852",
"telephone_number": "313-562-1515",
"fax_number": "313-562-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELSENFELD",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "RF013449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "FELSENFELD",
"middle_name": "BRUCE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.