Michael Lewis Fellin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038665 Issued in PA

Practice address

1695 N 7TH St
Lebanon, PA 17046-2103

Phone

(717) 274-2514

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael L. Fellin, DMD, LLC

  • Dental Clinic/Center
  • Lebanon, PA
  • NPI 1467859231
  NPD (past) Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1366739732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170462103",
            "telephone_number": "717-274-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170462103",
            "telephone_number": "717-274-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLIN",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Feeney
• Dena Michelle Feinberg, DMD
• Samuel Jared Feinstein, PA-C
• Lauren Elizabeth Feldstein, LCSW
• Angela Tene Feliciano
• Dana Steven Felty, D.M.D.
• Nathan Steven Felty, DMD
• Jennifer Lea Fenstermacher, MSW, LSW
• Thomas L Fenstermacher, MD
• Cherie K. Fernsler, BA

• General Practice Dentistry in Lebanon, PA
• Providers in Lebanon, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.