Gary R Feldman, DDS MD PS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD00017630 Issued in WA

Practice address

1221 Madison St
Suite 1116
Seattle, WA 98104-3588

Phone

(206) 215-2088

NPI assigned

Sep 22, 2006

Last updated

Aug 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gary R Feldman DDS MD PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1295257384
  Authorized official Same address or phone
• Jerald S. Pruner, DMD, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Seattle, WA
  • NPI 1821802000
  NPD
• Matthew Callan DDS PLLC

  • Oral and Maxillofacial Pathology Dentistry
  • Bremerton, WA
  • NPI 1730653197
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1245330059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST",
            "address_2": "SUITE 1116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043588",
            "telephone_number": "206-215-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST",
            "address_2": "SUITE 1116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043588",
            "telephone_number": "206-215-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "DDS MD PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00004338",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "MD00017630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Feldman, MD
• Eileen Klein Feldman, PH.D., BCBA-D
• Elana Adele Feldman, MD
• Eric M Feldman, M.D.
• Fern Elizabeth Feldman, RN, NP
• Jessica Feldman, MS
• Kenneth Wayne Feldman, MD
• Rachel Mara Feldman, MD
• Rebecca A. Feldman, ARNP
• Stephan Robert Feldman

• Oral & Maxillofacial Surgery (D.M.D.) in Seattle, WA
• Providers in Seattle, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.