Individual provider Active NPI

Leah M Felkner, DDS

  • Dentist
  • Madison, WI
National Provider Identifier
1811203235
Registry record updated May 20, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6596-015 Issued in WI
Practice address
2 Science CT
Madison, WI 53711-1088
Phone
(608) 238-4787
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6596-015 WI Primary

Addresses

Primary practice location

2 Science CT
Madison, WI 53711-1088

Mailing address

2 Science CT
Madison, WI 53711-1088
Phone (608) 238-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160105000362 WI Order and Referring Only - DentistPractitioner - Dentist 4284936535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6596-015WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1811203235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "608-238-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "608-238-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKNER",
        "first_name": "LEAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6596-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.