Individual provider Active NPI

Lemuel Feceu, DDS

  • Dentist
  • Auburn, CA
National Provider Identifier
1760978241
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109021 Issued in CA
Practice address
2503 Bell Rd
Auburn, CA 95603-2533
Phone
(530) 823-3803
NPI assigned
Jul 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109021 CA Primary

Addresses

Primary practice location

2503 Bell Rd
Auburn, CA 95603-2533

Mailing address

433 Elmwood CT
Roseville, CA 95678-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20231024004214 CA Order and Referring Only - DentistPractitioner - Dentist 0941656169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109021CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila N Harris, DDS Inc PastSince Aug 1, 2023 Accepting new patients
Wadhwa Dental Corporation PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1760978241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 ELMWOOD CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BELL RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032533",
            "telephone_number": "530-823-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECEU",
        "first_name": "LEMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.