Individual provider Active NPI

Lindsay Felien, D.M.D.

  • General Practice Dentistry
  • Laveen, AZ
National Provider Identifier
1275985434
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009529 Issued in AZ
Practice address
5045 W Baseline Rd
Ste 135
Laveen, AZ 85339-7392
Phone
(602) 237-0613
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D009529 AZ Primary

Addresses

Primary practice location

5045 W Baseline Rd
Ste 135
Laveen, AZ 85339-7392

Mailing address

1601 E Highland Ave
Apt 1178
Phoenix, AZ 85016-4680
Phone (651) 216-5613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160927002987 AZ Order and Referring Only - DentistPractitioner - Dentist 3072800572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laveen Modern Dentistry Past Accepting new patients
Laveen Modern Dentistry, LLP General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1275985434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E HIGHLAND AVE",
            "address_2": "APT 1178",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164680",
            "telephone_number": "651-216-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD",
            "address_2": "STE 135",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397392",
            "telephone_number": "602-237-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIEN",
        "first_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.