Greg C Felthousen, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10511 Issued in MD

Practice address

304 Dogwood Dr
Salisbury, MD 21801-7122

Phone

(410) 548-1096

Fax

(410) 219-5798

NPI assigned

Jul 24, 2006

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

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.

Opted out of Medicare

Yes, effective Oct 20, 2017 through Oct 20, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Greg Felthousen, DDS, Ms, LLC

  • Periodontics
  • Salisbury, MD
  • NPI 1235360017
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1417979733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DOGWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017122",
            "telephone_number": "410-548-1096",
            "fax_number": "410-219-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DOGWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017122",
            "telephone_number": "410-548-1096",
            "fax_number": "410-219-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTHOUSEN",
        "first_name": "GREG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Lynn Fellenger, CRNP
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• Umme Jannatul Ferdaush, MD
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• Fernando Acle, M.D., P.a.
• Susan Marie Ferrell, LMSW

• Periodontics in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.