Active NPI
Lillian Mary Feder, D.M.D.
- Dentist
- Beckley, WV
National Provider Identifier
1417181579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3981
- Practice address
- 114 Beckley PLZ
Beckley, WV 25801-2221 - Phone
- (304) 253-0506
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3981 | WV | Primary |
Addresses
Primary practice location
114 Beckley PLZ
Beckley, WV 25801-2221
Mailing address
114 Beckley PLZ
Beckley, WV 25801-2221
Phone (304) 253-0506
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3981 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey Plaza Dental PLLC | Past | Accepting new patients | |
| Greg T Harvey DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Beckley, WV
- NPI 1871943480
-
- Corporate Health Clinic/Center
- Beckley, WV
- NPI 1235895442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1417181579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BECKLEY PLZ",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012221",
"telephone_number": "304-253-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 BECKLEY PLZ",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012221",
"telephone_number": "304-253-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDER",
"first_name": "LILLIAN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.