Individual provider Active NPI

Leo Dan A Feril, D.M.D.

  • General Practice Dentistry
  • Hollister, CA
National Provider Identifier
1972720837
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43337 Issued in CA
Practice address
890 Sunset Dr Ste A1 Ste a
Hollister, CA 95023-5652
Phone
(831) 630-0969
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43337 CA Primary

Addresses

Primary practice location

890 Sunset Dr Ste A1 Ste a
Hollister, CA 95023-5652

Mailing address

890 Sunset Dr Ste A1 Ste a
Hollister, CA 95023-5652
Phone (831) 630-0969

Other identifiers 1

IdentifierTypeStateIssuer
516344MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972720837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 SUNSET DR STE A1 STE A",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235652",
            "telephone_number": "831-630-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SUNSET DR STE A1 STE A",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235652",
            "telephone_number": "831-630-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERIL",
        "first_name": "LEO DAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.