Individual provider Active NPI

Erik Pieter Feinauer, D.D.S.

  • Dentist
  • Clinton Township, MI
National Provider Identifier
1487814208
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019858 Issued in MI
Practice address
16550 19 Mile Rd
Clinton Township, MI 48038-1106
Phone
(586) 286-7410
Fax
(586) 286-1039
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019858 MI Primary

Addresses

Primary practice location

16550 19 Mile Rd
Clinton Township, MI 48038-1106

Mailing address

16550 19 Mile Rd
Clinton Township, MI 48038-1106
Phone (586) 286-7410

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
2901019858MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
E & N, John R Practice PLLC CurrentSince Mar 17, 2024 Accepting new patients
Michael J. Ramos DDS & Erik P. Feinauer DDS P.L.L.C. PastSince Mar 17, 2024 Accepting new patients
Bruce T. Roach, D.D.S., P.C. Past Accepting new patients

Locations

16550 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 286-7410

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1487814208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-7410",
            "fax_number": "586-286-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-7410",
            "fax_number": "586-286-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINAUER",
        "first_name": "ERIK",
        "middle_name": "PIETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.