Reydante Galve Fermin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901015939 Issued in MI

Practice address

18557 Canal Rd
Suite 5
Clinton TWP, MI 48038

Phone

(586) 228-1050

Fax

(586) 228-9037

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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 MI

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

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700963683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 LETICA DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "586-228-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18557 CANAL RD",
            "address_2": "SUITE 5",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-228-1050",
            "fax_number": "586-228-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "REYDANTE",
        "middle_name": "GALVE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice Physicians
• Fedor Opochinsky M.D.
• Christina M. Felcyn, MA, LPC, NCC
• Noelle Christi Fenske, M.S, P.T, C.M.P.T.
• Rachael Lyn Ferguson
• Emily Fetherolf
• Steven P Feyers, CRNA
• Amy Lynn Finfrock, BS, RSST
• Jeremy J Fischer, D.O.
• Jodi Leigh Fischer, PT

• Dentist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Dentist in Michigan

• 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.