Active NPI
Bo Feng
- Dentist
- Hawthorne, CA
National Provider Identifier
1871629097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55448
- Practice address
- 14248 Hawthorne Blvd
Hawthorne, CA 90250-7008 - Phone
- (310) 978-2974
- Fax
- (310) 978-0451
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55448 | CA | Primary |
Addresses
Primary practice location
14248 Hawthorne Blvd
Hawthorne, CA 90250-7008
Mailing address
1503 Banida Ave
Rowland Heights, CA 91748-2344
Phone (626) 378-4248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55448 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bo Feng D.D.S. Inc. | Past | Accepting new patients | |
| Western Dental Services, Inc. | Dentist | Past | Accepting new patients |
Interoperability endpoints
- bfeng@direct.westerndental.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Gentle Dental Clinic
- Dental Clinic/Center
- Rowland Heights, CA
- NPI 1699119768
-
- Dentist
- Hawthorne, CA
- NPI 1326194721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1871629097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 BANIDA AVE",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482344",
"telephone_number": "626-378-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14248 HAWTHORNE BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902507008",
"telephone_number": "310-978-2974",
"fax_number": "310-978-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENG",
"first_name": "BO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.