Individual provider Active NPI

Dan Eric Fesman III, MT

  • Music Therapist
  • Rancho Mirage, CA
National Provider Identifier
1871110916
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
70880 Sunny LN
Rancho Mirage, CA 92270-2345
Phone
(626) 926-1246
NPI assigned
Jul 5, 2020
Last updated
Jul 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X NU Primary

Addresses

Primary practice location

70880 Sunny LN
Rancho Mirage, CA 92270-2345

Mailing address

466 Foothill Blvd Ste 125
La Canada, CA 91011-3518
Phone (626) 926-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1871110916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD STE 125",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "626-926-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70880 SUNNY LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702345",
            "telephone_number": "626-926-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESMAN",
        "first_name": "DAN",
        "middle_name": "ERIC",
        "name_suffix": "III",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.