Marc Bennett Feldman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001X Issued in NY

Practice address

114 High St
Newark, NY 14513-1403

Phone

(315) 331-4530

NPI assigned

May 14, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1356557995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 S CENTENARY RD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899319",
            "telephone_number": "854-515-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HIGH ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131403",
            "telephone_number": "315-331-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2254 Penfield Rd",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261945",
            "country_code": "US",
            "telephone_number": "585-377-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "MARC",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047388",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Fairchild
• Megan Falkey, RN
• Shawn Fallo, OTR/L
• Jessica Marie Faro
• Kelly Diane Farrar, O.D.
• Kristen J. Fiero, LPN
• Finger Lakes Bone & Joint LLP
• Finger Lakes Community Health (Newark Community Health)
• Finger Lakes Ddso Wayne
• Finger Lakes Otolaryngology, PC

• General Practice Dentistry in Newark, NY
• Providers in Newark, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.