Organization Active NPI

Rodney L Feaster DDS PC

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1609968940
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14072 Issued in MI
Legal business name
RODNEY L FEASTER DDS PC
Practice address
G4007 W Court St
Suite a
Flint, MI 48532-3560
Phone
(810) 235-5422
Fax
(810) 232-7473
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Rodney Lee Feaster, DDS
Title
President
Phone
(810) 235-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14072 MI Primary

Addresses

Primary practice location

G4007 W Court St
Suite a
Flint, MI 48532-3560

Mailing address

G4007 W Court St
Suite a
Flint, MI 48532-3560
Phone (810) 235-5422

Other identifiers 1

IdentifierTypeStateIssuer
1658670MedicaidMI

Other names 1

  • Family Dental Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

G4007 W Court St
Ste A
Flint, MI 48532
Phone (810) 235-5422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1609968940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-235-5422",
            "fax_number": "810-232-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-235-5422",
            "fax_number": "810-232-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY L FEASTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "FEASTER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-235-5422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.