Organization Active NPI

Todd Feller DDS, P.C.

  • General Practice Dentistry
  • Ypsilanti, MI
National Provider Identifier
1972548063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15161 Issued in MI
Legal business name
TODD FELLER DDS, P.C.
Practice address
567 N Hewitt Rd
Ypsilanti, MI 48197-1812
Phone
(734) 528-9306
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Feller
Title
Owner/President
Phone
(734) 528-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15161 MI Primary

Addresses

Primary practice location

567 N Hewitt Rd
Ypsilanti, MI 48197-1812

Mailing address

567 N Hewitt Rd
Ypsilanti, MI 48197-1812

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972548063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971812",
            "telephone_number": "734-528-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD FELLER DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "734-528-9306"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.