NPIMap

Organization Active NPI

Robert R Feudo DMD LLC

  • Dentist
  • Danvers, MA
National Provider Identifier
1245477678
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19690 Issued in MA
Legal business name
ROBERT R FEUDO DMD LLC
Practice address
7 Federal St
Danvers, MA 01923-3668
Phone
(978) 777-8850
Fax
(978) 777-7154
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Robert R Feudo, DMDNPI 1962425348
Title
Owner
Phone
(978) 777-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19690 MA Primary

Addresses

Primary practice location

7 Federal St
Danvers, MA 01923-3668

Mailing address

7 Federal St
Danvers, MA 01923-3668
Phone (978) 777-8850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1245477678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FEDERAL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233668",
            "telephone_number": "978-777-8850",
            "fax_number": "978-777-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FEDERAL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233668",
            "telephone_number": "978-777-8850",
            "fax_number": "978-777-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R FEUDO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "FEUDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-777-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.