David Max Fellars, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26885 Issued in FL

Practice address

3607 Aloma Ave Ste 1031
Oviedo, FL 32765-8856

Phone

(321) 304-6777

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

State licenses

Practice roles

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.

• Dmax Fellars, DDS, Apc

  dba North County Dental Care

  • Dentist
  • Vista, CA
  • NPI 1871769141
  NPD (past) Authorized official
• Edward Adourian, DDS, Inc.

  dba North County Dental Care

  • Preferred Provider Organization
  • Vista, CA
  • NPI 1912370552
  NPD (past)
• Tempe Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1154186450
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1659555076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 WOODHAVEN VILLAGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286850",
            "telephone_number": "760-889-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 ALOMA AVE STE 1031",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658856",
            "telephone_number": "321-304-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLARS",
        "first_name": "DAVID",
        "middle_name": "MAX",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26885",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Negin Fazel, RBT
• John Paul Feenburg, D.O.
• David John Feenstra, OD
• Jeri Schwartz Feldheim, M.A. CCC-SLP
• Emy Feliciano, OD
• Fenn Systems Inc.
• Renae Maree Fennell, OTR/L.
• Jenny S Fergerson
• Ketty Fernandez
• Sabrina Fernandez, COTA/L

• General Practice Dentistry in Oviedo, FL
• Providers in Oviedo, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.