Individual provider Active NPI

Abdel Kader Felo, DDS

  • Prosthodontics
  • Roanoke, VA
National Provider Identifier
1477435915
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401419331 Issued in VA
Practice address
1380 Towne Square Blvd NW
Roanoke, VA 24012-1611
Phone
(771) 333-8233
NPI assigned
Jul 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401419331 VA Primary

Addresses

Primary practice location

1380 Towne Square Blvd NW
Roanoke, VA 24012-1611

Mailing address

449 Glastonbury Dr
Orlando, FL 32825-3701
Phone (407) 666-0593

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

LicenseStateTypeSpecialty
0401419331VAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1477435915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 GLASTONBURY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253701",
            "telephone_number": "407-666-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 TOWNE SQUARE BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121611",
            "telephone_number": "771-333-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELO",
        "first_name": "ABDEL KADER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401419331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.