James Howard Oberfeitinger, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021198L Issued in PA

Practice address

620 Jefferson Ave
Ellwood City, PA 16117-1229

Phone

(724) 758-3505

Fax

(724) 758-8158

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By 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 PA

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

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.

• Magnifico Family Dentistry PC

  • General Practice Dentistry
  • Ellwood City, PA
  • NPI 1376183590
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477615581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JEFFERSON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171229",
            "telephone_number": "724-758-3505",
            "fax_number": "724-758-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JEFFERSON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171229",
            "telephone_number": "724-758-3505",
            "fax_number": "724-758-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERFEITINGER",
        "first_name": "JAMES",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021198L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Brooks Mulhollen, MS, CCC-SLP
• Shannon Lee Myers, CRNP
• Anastasia Marie Neil, DO
• Katarina Marie Nikolic
• Jodi Nocera
• Rebecca Lynn Oneil, PBT / ASCP
• Outreach Care Group, Inc
• Outreach Care Group, Inc.
• Heather Palmer, P.T.
• Christopher Panek, DPM

• General Practice Dentistry in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.