John Wayne Feaster, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24011 Issued in CA

Practice address

125 E Barstow Ave
Fresno, CA 93710-5020

Phone

(559) 222-5331

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By 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

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1497195564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105020",
            "telephone_number": "559-222-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105020",
            "telephone_number": "559-222-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Fayed, MD
• Mohamed A Fayed, MD
• Kathryn Luzette Faz
• Rohina Fazil
• Krista Feagans, R.D
• Joyce Marie Feaster
• Frances Febres
• Stephen Fedele Jr, CHIROPRACTOR
• Barbara S Fee, P.T.
• Susan Dianne Feil, RNP

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.