Peter R. Feliciano, D.M.D., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER R. FELICIANO, D.M.D., INC

Practice address

13373 Perris Blvd Ste D306
Moreno Valley, CA 92553-4208

Phone

(951) 485-2860

Fax

(951) 485-2862

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Peter Paul Feliciano, D.M.D.NPI 1174570469

Title

Dentist/President

Phone

(951) 485-2860

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Paul Feliciano, D.M.D.

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1174570469
  NPD (past) Authorized official

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1922465301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13373 PERRIS BLVD STE D306",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534208",
            "telephone_number": "951-485-2860",
            "fax_number": "951-485-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13373 PERRIS BLVD STE D306",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534208",
            "telephone_number": "951-485-2860",
            "fax_number": "951-485-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R. FELICIANO, D.M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "951-485-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christian Avery Peters
• Bailey Petersen, NONE
• Moniquie Peterson
• Kornelia L Petrova, DDS

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.