Active NPI
Kanona William Felt, DDS
- Dentist
- Carlsbad, NM
National Provider Identifier
1881609576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2470
- Practice address
- 114 E Riverside Dr
Carlsbad, NM 88220-5258 - Phone
- (505) 885-0350
- Fax
- (505) 234-9520
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2470 | NM | Primary |
Addresses
Primary practice location
114 E Riverside Dr
Carlsbad, NM 88220-5258
Mailing address
114 E Riverside Dr
Carlsbad, NM 88220-5258
Phone (505) 885-0350
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 |
|---|---|---|---|
| 2470 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1881609576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E RIVERSIDE DR",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205258",
"telephone_number": "505-885-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E RIVERSIDE DR",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205258",
"telephone_number": "505-885-0350",
"fax_number": "505-234-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELT",
"first_name": "KANONA",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "2470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.