Christopher Frank Felicetta, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34339 Issued in TX

Practice address

150 Deep Wood Dr
Round Rock, TX 78681

Phone

(512) 255-1000

NPI assigned

Mar 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1497116651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 GAINES RANCH LOOP APT 614",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356497",
            "telephone_number": "203-907-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DEEP WOOD DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-255-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 25th Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055668",
            "country_code": "US",
            "telephone_number": "203-907-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Deep Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "78681",
            "country_code": "US",
            "telephone_number": "512-255-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICETTA",
        "first_name": "CHRISTOPHER",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR60647658",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernie Faucher
• Darrell D. Faught, D.D.S.
• Liliane Lowe Faxigue, FNP-C
• Fayetteville Lithotripters Limited Partnership- Louisiana I
• Fayetteville Lithotripters LP - Virginia 1
• Brian Douglas Fell, O.D.
• Destiny Fells
• Albina Ferguson, PT, DPT
• Mollie Ann Ferguson, LPC-A
• Thomas J Ferguson, CRNA

• General Practice Dentistry in Round Rock, TX
• Providers in Round Rock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.