Individual provider Active NPI

Sylvan Feldman, D.D.S.

  • Periodontics
  • Towson, MD
National Provider Identifier
1962771378
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4013 Issued in MD
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
4013MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.