Blair Feldman, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D5454 Issued in AZ

Practice address

14967 W Bell Rd Ste 150
Surprise, AZ 85374-3223

Phone

(623) 544-1334

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1609989854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14967 W BELL RD STE 150",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743223",
            "telephone_number": "623-544-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14967 W BELL RD STE 150",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743223",
            "telephone_number": "623-544-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 W Bethany Home Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850151937",
            "country_code": "US",
            "telephone_number": "602-242-3289 x13",
            "fax_number": "602-246-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D5454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DENTAL  LICENSE",
            "identifier": "D5454",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Farnsworth, DDS, PHD
• Tracy Fate
• April Renee Fatina, FNP
• Mark Edward Fechtel, O.D.
• Amber Feick
• Alexandra Gesine Felkins, MS., SLP-CCC
• Maureen Ann Fennell
• Makayla Fennema, OTR/L
• Jonathon Fenner, PHARMD
• Jennifer Lynn Ferguson, MS CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.