Daniel M Fenton, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19223 Issued in FL

Practice address

9140 S Federal Hwy
Port St Lucie, FL 34952-3485

Phone

(772) 202-9988

NPI assigned

Jul 21, 2010

Last updated

Feb 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Dentures - Port St. Lucie III, P.a.

  • Dentist
  • Port St Lucie, FL
  • NPI 1295194579
  Authorized official Same address or phone
• Affordable Dentures & Implants - Florida II, PLLC

  dba Affordable Dentures & Implants- Port St Lucie

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1164267910
  Authorized official Same address or phone
• Affordable Dentures - West Palm Beach, P.a.

  • Dentist
  • West Palm Beach, FL
  • NPI 1811130032
  NPD (past)
• Affordable Dentures & Implants - West Palm Beach, P.a.

  dba Affordable Dentures & Implants - West Palm Beach

  • General Practice Dentistry
  • West Palm Beach, FL
  • NPI 1023924313
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1457664229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523485",
            "telephone_number": "772-202-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523485",
            "telephone_number": "772-202-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast & Easy Mobile Lab LLC
• Luke Favata
• Eileen Feick
• Feliz Health Consultants
• Tracy A. Fenn, PA-C
• James R. Fenton, CPO
• Suzanne Fenton, PT
• Shana Fentress, BCBA
• Inovia Ferdinand
• Martina A Ferguson, BA

• Dentist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.