Jeffrey Scott Feltzer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010107 Issued in IN

Practice address

518 Lincoln Way W
Mishawaka, IN 46544-1807

Phone

(574) 255-5630

Fax

(574) 256-0323

NPI assigned

Feb 20, 2007

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

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.

• Hewitt and Feltzer Dentistry Partnership

  • General Practice Dentistry
  • Mishawaka, IN
  • NPI 1710024575
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386789162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 SIGNAL HILL CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306512",
            "telephone_number": "574-255-5630",
            "fax_number": "574-256-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LINCOLN WAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441807",
            "telephone_number": "574-255-5630",
            "fax_number": "574-256-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTZER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziad Youssef Fayad, MD
• Feathergill & Associates LLC
• Catherine Marie Fedder, ATC, MA, LATC
• Dennis A Fehr, MA
• Vilmary Feliciano
• Alexa Fernandez
• Manicar Domantay Fernandez, PT
• James C Field, MD
• Sarah A Fifer, PHD, LMHC, CADAC IV
• Lynn Davis Figg, FNP

• General Practice Dentistry in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.