Individual provider Active NPI

David Alan Feick, DDS

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1790715811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TN4666 Issued in TN
Practice address
4095 Mallory LN
Franklin, TN 37067-8268
Phone
(615) 794-9401
Fax
(425) 696-7713
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

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 TN4666 TN Primary

Addresses

Primary practice location

4095 Mallory LN
Franklin, TN 37067-8268

Mailing address

4095 Mallory LN
Franklin, TN 37067-8268
Phone (615) 794-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150715001308 TN Order and Referring Only - DentistPractitioner - Dentist 6406169788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN4666TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790715811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678268",
            "telephone_number": "615-794-9401",
            "fax_number": "425-696-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678268",
            "telephone_number": "615-794-9401",
            "fax_number": "425-696-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEICK",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.