Active NPI
Loretta Kay Felder McKelvey, DDS
- Dentist
- Columbia, SC
National Provider Identifier
1629289129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SC2642
- Practice address
- 2329 Devine Street
Columbia, SC 29250 - Phone
- (803) 252-8101
- Fax
- (803) 779-7721
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | SC2642 | SC | Primary |
| Dentist | 122300000X | DN013211 | GA | |
| Dentist | 122300000X | 0401411265 | VA |
Addresses
Primary practice location
2329 Devine Street
Columbia, SC 29250
Mailing address
PO Box 50664
2329 Devine Street
Columbia, SC 29250
Phone (803) 252-8101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZ2642 | Medicaid | SC |
Other names 1
- Dr. Loretta Kay Felder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013211 | GA | MD | Dentist |
| SC2642 | SC | MD | Dentist |
| 0401411265 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dental PA | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Columbia, SC
- NPI 1568673069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629289129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50664",
"address_2": "2329 DEVINE STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29250",
"telephone_number": "803-252-8101",
"fax_number": "803-779-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2329 DEVINE STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29250",
"telephone_number": "803-252-8101",
"fax_number": "803-779-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER MCKELVEY",
"first_name": "LORETTA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "SC2642",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013211",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411265",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZ2642",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORETTA",
"last_name": "FELDER",
"middle_name": "KAY",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.