Justin Patrick Feehan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416066 Issued in VA

Practice address

2320 Commonwealth Dr
Charlottesville, VA 22901-1622

Phone

(434) 260-5779

NPI assigned

Jun 21, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1770077836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 BENVENUE RD",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692444",
            "telephone_number": "571-469-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 COMMONWEALTH DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011622",
            "telephone_number": "434-260-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEHAN",
        "first_name": "JUSTIN",
        "middle_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Leigh Feaster, CCC-SLP, CNT
• Featured LLC
• Katherine L. Fedder, M.D.
• Russell Federman
• Lynn M. Fedoruk, M.D.
• Laurel Megan Feigley, LCSW
• Nicholas A Feinberg, MD
• Emily B. Feiner, P.A.
• Gabriel Jake Felder, M.D.
• May Belle Jay Fellenz, FNP - BC

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.