Fehlman Dental Practice, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FEHLMAN DENTAL PRACTICE, LTD

Practice address

116 W 2ND St
Geneseo, IL 61254-1320

Phone

(309) 944-6401

Fax

(309) 945-4311

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Richard Fehlman, D.D.S.NPI 1932215068

Title

Owner

Phone

(309) 944-6401

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bruce Richard Fehlman, D.D.S.

  • General Practice Dentistry
  • Geneseo, IL
  • NPI 1932215068
  NPD (past) Authorized official
• Jeffrey Hirschfelder, D.D.S.

  • General Practice Dentistry
  • Geneseo, IL
  • NPI 1740396878
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1851579940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612540109",
            "telephone_number": "309-944-6401",
            "fax_number": "309-945-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 2ND ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541320",
            "telephone_number": "309-944-6401",
            "fax_number": "309-945-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEHLMAN DENTAL PRACTICE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "FEHLMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-944-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morrie Martin Deporter, D.C.
• Kate Dibbin, PT, DPT
• Angelica Aurora Disterhoft, PHARMD
• Terrance Tyrone Fahlenkamp, PHARMACIST
• Jennifer M Fecht, LMT
• Bruce Richard Fehlman, D.D.S.
• Mary Ann Fensterbusch, D.C.
• Craig Andrew Ford, PHARMD
• Donald R Ford, MD
• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Geneseo)

• General Practice Dentistry in Geneseo, IL
• Providers in Geneseo, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.