Fede Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3185 Issued in NM

Legal business name

FEDE FAMILY DENTISTRY LLC

Practice address

6800 Montgomery Blvd NE
J
Albuquerque, NM 87109-1405

Phone

(503) 459-6851

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Cassie Fede

Title

Owner/Dentist

Phone

(503) 459-6851

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1750714911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE",
            "address_2": "J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091405",
            "telephone_number": "503-459-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE",
            "address_2": "J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091405",
            "telephone_number": "503-459-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "FEDE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-459-6851",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawton Feagler, PHARMD
• Andrew Fearnside, LMHC
• Kathryn I Fearnside, R.N.
• Martha Featherstone, RN
• Richard M Feddersen, MD
• Cassie Isabelle Fede, DMD
• Juliana Federici
• Robert E. Federici, MD
• Vincent Federico
• Rebecca Feely

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.