Individual provider Active NPI

Jordan W Felkner, DDS

  • Dentist
  • Lampasas, TX
National Provider Identifier
1326453903
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30711 Issued in TX
Practice address
1206 Central Texas Expy
Lampasas, TX 76550-3321
Phone
(512) 556-2090
NPI assigned
Jun 23, 2014
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30711 TX Primary

Addresses

Primary practice location

1206 Central Texas Expy
Lampasas, TX 76550-3321

Mailing address

1206 Central Texas Expy
Lampasas, TX 76550-3321
Phone (512) 556-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160909000244 TX Order and Referring Only - DentistPractitioner - Dentist 3072809557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30711TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan W. Felkner, DDS, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1326453903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503321",
            "telephone_number": "512-556-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503321",
            "telephone_number": "512-556-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKNER",
        "first_name": "JORDAN",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

Verify at the official NPI Registry.