Mary E Feekart, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011111A Issued in IN

Practice address

777 Broadway St
Suite B
Anderson, IN 46012-2568

Phone

(765) 642-3124

Fax

(765) 642-1095

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

No

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 IN

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.

• Dental Professionals of Indiana, P.C.

  • General Practice Dentistry
  • Anderson, IN
  • NPI 1497977946
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1700065562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E HILL ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553612",
            "telephone_number": "562-981-5816",
            "fax_number": "562-981-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BROADWAY ST",
            "address_2": "SUITE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122568",
            "telephone_number": "765-642-3124",
            "fax_number": "765-642-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEKART",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56474",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freshteh Farahan, M.D.
• Abbi Brook Farmer, RBT
• Justin Matthew Farmer
• Alexandria Farrar, RD
• Shy'Anne Faulkner
• Chad Michael Feldman, MD
• Joel Ferguson, FNP-C
• Amy Lynn Fetters, RBT
• Nancy B Fields, MSN, APRN, BC
• Heather G Figurelli, DO

• Dentist in Anderson, IN
• Providers in Anderson, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.