Jay Feuillerat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13881 Issued in MN

Practice address

1435 N. Acres Rd. Suite 102
Prescott, WI 54021

Phone

(715) 953-0499

NPI assigned

Jun 26, 2017

Last updated

Feb 28, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Feuillerat, D.D.S., S.C.

  dba Scenic Bluffs Dental

  • Dental Clinic/Center
  • Prescott, WI
  • NPI 1376028423
  NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1376063818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N. ACRES RD. SUITE 102",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "54021",
            "telephone_number": "715-953-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N. ACRES RD. SUITE 102",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "54021",
            "telephone_number": "715-953-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 3rd St N",
            "address_purpose": "LOCATION",
            "city": "Bayport",
            "state": "MN",
            "postal_code": "550031028",
            "country_code": "US",
            "telephone_number": "651-383-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEUILLERAT",
        "first_name": "JAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Devries
• Justice Rose Dunning, LPN
• Alyssa Kathryn Eich, CNP
• Karyn Lynn Ekelin, D.C.
• Feuillerat, D.D.S., S.C. (Scenic Bluffs Dental)
• Kurt R. Fuchs, M.D.
• Alisa Garr
• Scott William Hamilton
• Sarah Michelle Harvieux, PT
• Sarah Hei, OTR/L

• General Practice Dentistry in Prescott, WI
• Providers in Prescott, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.