David Gerald Feeney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5389 Issued in NC

Practice address

3090 Senna Dr
Matthews, NC 28105-6726

Phone

(704) 847-1000

Fax

(704) 844-9709

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1922152958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056726",
            "telephone_number": "704-847-1000",
            "fax_number": "704-844-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056726",
            "telephone_number": "704-847-1000",
            "fax_number": "704-844-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "DAVID",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "92639",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zayd Fattah
• Jessica Lynn Faulk
• Tarah Faust, PTA
• FBTC Transitional Sub, LLC (Bright Light)
• FBTC Transitional Sub, LLC (Whole Health Behavioral Solutions)
• Jessica Feldman, LCSW
• Stephanie Saullo Feliciano, MS, RD
• Laura Schell Fensterstock, MSSW
• Howard P Fernandez, MD
• Victor Steven Ferrari, MD

• General Practice Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.