Fenndent LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

016741 Issued in MI

Legal business name

FENNDENT LLC

Practice address

131 Columbia Ave E Ste 210
Battle Creek, MI 49015-3761

Phone

(269) 963-7767

Fax

(269) 963-4380

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Tara Leavell

Title

Office Manager

Phone

(269) 963-7767

Specialties & licenses 1

Addresses

Other names 1

• Greater Michigan Dental Associates Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Charles Goodsell, D.D.S.

  • General Practice Dentistry
  • Battle Creek, MI
  • NPI 1851475081
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1659885242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA AVE E STE 210",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153761",
            "telephone_number": "269-963-7767",
            "fax_number": "269-963-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA AVE E STE 210",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153761",
            "telephone_number": "269-963-7767",
            "fax_number": "269-963-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "LEAVELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-963-7767"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "016741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Michigan Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Marie Fausey-Luke, D.C.
• James Russell Fausey, D.C.
• Stephen Fedele, DO
• Toni Fedyski, NP-C
• April Sue Felton, NP
• Brittin Paige Ferguson, LCSW
• Haputhanthrige Jan Mariano Fernando
• Kaitlynn E Ferris, LLPC
• Kayla Ferris
• Janelle Fether, PHARMD

• Dental Clinic/Center in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.