Individual provider Active NPI

Erik Anthony Feider, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, WA
National Provider Identifier
1568411171
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE00009026 Issued in WA
Practice address
1340 8TH St NE
Suite 101
Auburn, WA 98002-4700
Phone
(253) 833-9524
Fax
(253) 833-8316
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE00009026 WA Primary

Addresses

Primary practice location

1340 8TH St NE
Suite 101
Auburn, WA 98002-4700

Mailing address

1340 8TH St NE
Suite 101
Auburn, WA 98002-4700
Phone (253) 833-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 14, 2017 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00009026WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C.S. Woo, D.D.S., P.S. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1568411171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 8TH ST NE",
            "address_2": "SUITE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024700",
            "telephone_number": "253-833-9524",
            "fax_number": "253-833-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 8TH ST NE",
            "address_2": "SUITE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024700",
            "telephone_number": "253-833-9524",
            "fax_number": "253-833-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIDER",
        "first_name": "ERIK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00009026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.