Jacqueline Marie Fetner, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21960 Issued in FL

Practice address

1395 Center Dr # D1-17
Gainesville, FL 32610-1201

Phone

(352) 273-7643

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downs and Fetner, PLLC

  • Pediatric Dentistry
  • Jacksonville, FL
  • NPI 1568320562
  NPD Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1932554342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 AVONDALE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057823",
            "telephone_number": "941-726-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR # D1-17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101201",
            "telephone_number": "352-273-7643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13947 Beach Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241201",
            "country_code": "US",
            "telephone_number": "941-726-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETNER",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ferris, APRN
• Kenneth Ferris Jr.
• Heather M Festa
• Alexander Fethiere, MD
• Nikole Fethiere, M.ED., ED.S., LMHC
• Erica N Feuerbacher, M.S.
• George G Feussner, MD
• Fidus Paralogistics (Gemini NEMT)
• Jennifer Halley Fieber, MD
• Audrey L Field, ARNP

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.