Active NPI
Adrienne Uchikura Feyock, DDS
- Dentist
- Danville, CA
National Provider Identifier
1952410581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52981
- Practice address
- 300 El Cerro Blvd
Ste D
Danville, CA 94526 - Phone
- (925) 837-7277
- Fax
- (925) 831-1876
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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 | 52981 | CA | Primary |
Addresses
Primary practice location
300 El Cerro Blvd
Ste D
Danville, CA 94526
Mailing address
300 El Cerro Blvd
Ste D
Danville, CA 94526
Phone (925) 837-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622001570 | CA | Order and Referring Only - Dentist | 5799076782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52981 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adrienne U. Feyock DDS, Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952410581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EL CERRO BLVD",
"address_2": "STE D",
"city": "DANVILLE",
"state": "CA",
"postal_code": "94526",
"telephone_number": "925-837-7277",
"fax_number": "925-831-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EL CERRO BLVD",
"address_2": "STE D",
"city": "DANVILLE",
"state": "CA",
"postal_code": "94526",
"telephone_number": "925-837-7277",
"fax_number": "925-831-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEYOCK",
"first_name": "ADRIENNE",
"middle_name": "UCHIKURA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.