Cassandra Mae Fevelo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041269 Issued in PA

Practice address

4700 Wissahickon Ave Ste 118
Philadelphia, PA 19144-4248

Phone

(267) 597-3600

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497130868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "BLDG D, SUITE 118",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "267-597-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE STE 118",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "267-597-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2888 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022612",
            "country_code": "US",
            "telephone_number": "313-875-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEVELO",
        "first_name": "CASSANDRA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Fesperman, LSW
• Bradley Christopher Fetzer, MD
• John C Feudtner, M.D.
• Carly Feuerstein-Simon, MD
• Raymond Feuga, M.D.
• Janice L. Fey, NP
• Tamara Feygin, MD
• Eyob L Feyssa, MD, MPH, FACP
• Alyssa Fialho, MS
• Stephen F Ficchi, DO

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.