Organization Active NPI

Robert B Felsenfeld DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dearborn, MI
National Provider Identifier
1457523714
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901013449 Issued in MI
Legal business name
ROBERT B FELSENFELD DDS PC
Practice address
22731 Newman St
Suite 240
Dearborn, MI 48124-3852
Phone
(313) 562-1515
Fax
(313) 562-7439
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Robert B Felsenfeld, DDS
Title
President
Phone
(313) 562-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2901013449 MI Primary

Addresses

Primary practice location

22731 Newman St
Suite 240
Dearborn, MI 48124-3852

Mailing address

22731 Newman St
Suite 240
Dearborn, MI 48124-3852
Phone (313) 562-1515

National Provider Directory

National Provider Directory

Locations

3815 Pelham St
Ste 78
Dearborn, MI 48124
Phone (313) 562-1515

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1457523714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST",
            "address_2": "SUITE 240",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243852",
            "telephone_number": "313-562-1515",
            "fax_number": "313-562-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST",
            "address_2": "SUITE 240",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243852",
            "telephone_number": "313-562-1515",
            "fax_number": "313-562-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B FELSENFELD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "FELSENFELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-562-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.