Greg Alan Fjeran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005418 Issued in WA

Practice address

4430 106TH St SW
#101
Mukilteo, WA 98275-4711

Phone

(425) 355-2282

Fax

(425) 348-5340

NPI assigned

Jul 1, 2006

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 WA

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

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659300630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 106TH ST SW",
            "address_2": "#101",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754711",
            "telephone_number": "425-355-2282",
            "fax_number": "425-348-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 106TH ST SW",
            "address_2": "#101",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754711",
            "telephone_number": "425-355-2282",
            "fax_number": "425-348-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJERAN",
        "first_name": "GREG",
        "middle_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Louise Ferrier, FPMHNP
• Stephanie Ferris, D.C.
• William Westfield Fewtrell
• Cheryl Pedersen Field, OT/L
• Julie Ann Finks, MSW (SOCIAL WORKER)
• Ted P Forman, DDS
• Karen Lee Foss Bradford, R.P.T.
• Thomas A Fossedal, BA
• Olena Fox, ARNP
• Fred Meyer Stores Inc

• General Practice Dentistry in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• General Practice Dentistry in Washington

• 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.