NPIMap

Organization Active NPI

Feller and Feller Orthodontics, LLC

Doing business as Feller and Feller Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rock Springs, WY
National Provider Identifier
1780745190
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
743 Issued in WY
Legal business name
FELLER AND FELLER ORTHODONTICS, LLC
Doing business as
Feller and Feller Orthodontics
Practice address
2405 Cascade Dr
Rock Springs, WY 82901-5652
Phone
(307) 362-8842
NPI assigned
Dec 12, 2006
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Parley Jack Feller, DDS, MSNPI 1356594212
Title
Owner
Phone
(307) 362-8842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1158 WY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 743 WY Primary

Addresses

Primary practice location

2405 Cascade Dr
Rock Springs, WY 82901-5652

Mailing address

2405 Cascade Dr
Rock Springs, WY 82901-5652
Phone (307) 362-8842

Other identifiers 2

IdentifierTypeStateIssuer
743OtherWYDELTA DENTAL
10578OtherUNITED CONCORDIA

Other names 1

  • Feller and Feller Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1780745190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 CASCADE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015652",
            "telephone_number": "307-362-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 CASCADE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015652",
            "telephone_number": "307-362-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLER AND FELLER ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "PARLEY",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-362-8842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "1158",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "743",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "10578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feller and Feller Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.