Active NPI
Sylvan Feldman, D.D.S.
- Periodontics
- Towson, MD
National Provider Identifier
1962771378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4013
- Practice address
- 660 Kenilworth Dr
Suite # 103
Towson, MD 21204-2313 - Phone
- (410) 821-8800
- Fax
- (410) 823-5715
- NPI assigned
- Dec 14, 2011
- Last updated
- Dec 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4013 | MD | Primary |
| Prosthodontics | 1223P0700X | 4013 | MD |
Addresses
Primary practice location
660 Kenilworth Dr
Suite # 103
Towson, MD 21204-2313
Mailing address
660 Kenilworth Dr
Suite # 103
Towson, MD 21204-2313
Phone (410) 821-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 5, 2014 through Aug 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4013 | MD | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feldman, Sachs & Fitzgerald, DDS, PA | Periodontics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1962771378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 KENILWORTH DR",
"address_2": "SUITE # 103",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042313",
"telephone_number": "410-821-8800",
"fax_number": "410-823-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 KENILWORTH DR",
"address_2": "SUITE # 103",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042313",
"telephone_number": "410-821-8800",
"fax_number": "410-823-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "SYLVAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "4013",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "4013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.