Charles Lee Feldman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032547 Issued in CA

Practice address

1502 Saint Marks PLZ
Suite 7
Stockton, CA 95207-6409

Phone

(209) 957-8776

Fax

(209) 957-0965

NPI assigned

Oct 27, 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 CA

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

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558447110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SAINT MARKS PLZ",
            "address_2": "SUITE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076409",
            "telephone_number": "209-957-8776",
            "fax_number": "209-957-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SAINT MARKS PLZ",
            "address_2": "SUITE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076409",
            "telephone_number": "209-957-8776",
            "fax_number": "209-957-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "CHARLES",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "032547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Feighery, MS, TRS
• Isam Felahy, MD
• Monique Felahy, RN
• Walid Stephan Felahy, D.C.
• Vanessa Felder, M.B.A., M.A.
• Brandy Nayeli Feliciano
• Charlotte Felix, RD
• Deneen Felix
• Lizette Marie Felix
• Rhonda Kenya Felix

• Dentist in Stockton, CA
• Providers in Stockton, CA by specialty
• Dentist in California

• 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.