Individual provider Active NPI

Daniel Feldman, DDS

  • Dentist
  • Long Beach, CA
National Provider Identifier
1356724660
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64663 Issued in CA
Practice address
2700 N Bellflower Blvd Ste 117
Long Beach, CA 90815-1100
Phone
(562) 938-7700
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64663 CA Primary

Addresses

Primary practice location

2700 N Bellflower Blvd Ste 117
Long Beach, CA 90815-1100

Mailing address

2700 N Bellflower Blvd Ste 117
Long Beach, CA 90815-1100
Phone (562) 938-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160321001058 CA Order and Referring Only - DentistPractitioner - Dentist 5496052300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Feldman DDS Inc CurrentSince May 17, 2020 Accepting new patients

Locations

2700 N Bellflower Blvd
Ste 117
Long Beach, CA 90815
Phone (562) 938-7700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1356724660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 117",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151100",
            "telephone_number": "562-938-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 117",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151100",
            "telephone_number": "562-938-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.