Organization Active NPI

Feller Orthodontics a Professional Organization

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salt Lake City, UT
National Provider Identifier
1801916309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
138264-9921 Issued in UT
Legal business name
FELLER ORTHODONTICS A PROFESSIONAL ORGANIZATION
Practice address
2505 E 3300 S
Salt Lake City, UT 84109-2737
Phone
(801) 466-0040
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Parley Jack Feller, DDS
Title
Owner and Orthodontist
Phone
(801) 466-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 138264-9921 UT Primary

Addresses

Primary practice location

2505 E 3300 S
Salt Lake City, UT 84109-2737

Mailing address

2505 E 3300 S
Salt Lake City, UT 84109-2737
Phone (801) 466-0040

National Provider Directory

National Provider Directory

Locations

2505 E 3300 S
Salt Lake City, UT 84109
Phone (801) 466-0040

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801916309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092737",
            "telephone_number": "801-466-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092737",
            "telephone_number": "801-466-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLER ORTHODONTICS A PROFESSIONAL ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "PARLEY",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER AND ORTHODONTIST",
        "authorized_official_telephone_number": "801-466-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "138264-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.