Individual provider Active NPI

Adam I Fienman, D.D.S.

  • General Practice Dentistry
  • Warren, MI
National Provider Identifier
1770646341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019157 Issued in MI
Practice address
8984 E 13 Mile Rd
Warren, MI 48093-2206
Phone
(586) 573-9890
Fax
(586) 573-2628
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019157 MI Primary

Addresses

Primary practice location

8984 E 13 Mile Rd
Warren, MI 48093-2206

Mailing address

6400 Village Park Dr
Apt 201
West Bloomfield, MI 48322-2158
Phone (248) 757-2855

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190218001712 MI Order and Referring Only - DentistPractitioner - Dentist 3173747607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019157MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fienman Dental PLLC Current Accepting new patients
Steven B Berlin DDS PC Past Accepting new patients
HNH PLLC General Practice Past Accepting new patients

Organizations & group practices 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770646341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 VILLAGE PARK DR",
            "address_2": "APT 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222158",
            "telephone_number": "248-757-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8984 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932206",
            "telephone_number": "586-573-9890",
            "fax_number": "586-573-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENMAN",
        "first_name": "ADAM",
        "middle_name": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.