Organization Active NPI

Fehr Orthodontics, LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • East Moline, IL
National Provider Identifier
1689792038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FEHR ORTHODONTICS, LTD
Practice address
3800 Archer Dr
Suite 200
East Moline, IL 61244-3757
Phone
(309) 751-3080
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale Edward Fehr, DDS,MSNPI 1114058286
Title
Orthodontist
Phone
(309) 751-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X IL Primary

Addresses

Primary practice location

3800 Archer Dr
Suite 200
East Moline, IL 61244-3757

Mailing address

3800 Archer Dr
Suite 200
East Moline, IL 61244-3757
Phone (309) 751-3080

National Provider Directory

National Provider Directory

Locations

3800 Archer Dr
Ste 200
East Moline, IL 61244
Phone (309) 751-3080

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689792038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ARCHER DR",
            "address_2": "SUITE 200",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612443757",
            "telephone_number": "309-751-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ARCHER DR",
            "address_2": "SUITE 200",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612443757",
            "telephone_number": "309-751-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEHR ORTHODONTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEHR",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "309-751-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.