Individual provider Active NPI

Jennifer Brittany Feingold, DDS

  • Dentist
  • Coralville, IA
National Provider Identifier
1356835896
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
09572 Issued in IA
Practice address
2761 Oakdale Blvd Ste 4
Coralville, IA 52241-9754
Phone
(319) 626-5437
Fax
(319) 626-2301
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 09572 IA
Dentist 122300000X 09572 IA Primary

Addresses

Primary practice location

2761 Oakdale Blvd Ste 4
Coralville, IA 52241-9754

Mailing address

2761 Oakdale Blvd Ste 4
Coralville, IA 52241-9754
Phone (193) 626-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09572IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Dental Center, PLLC CurrentSince Dec 21, 2021 Accepting new patients

Locations

2761 Oakdale Blvd
Ste 4
Coralville, IA 52241
Phone (319) 626-5437

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1356835896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 OAKDALE BLVD STE 4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419754",
            "telephone_number": "193-626-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 OAKDALE BLVD STE 4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419754",
            "telephone_number": "319-626-5437",
            "fax_number": "319-626-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINGOLD",
        "first_name": "JENNIFER",
        "middle_name": "BRITTANY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-12-14",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "09572",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.