Irving M. Feldkamp DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21985 Issued in CA

Legal business name

IRVING M. FELDKAMP DDS

Practice address

164 W Hospitality LN
Suite 14
San Bernardino, CA 92408-3316

Phone

(909) 888-6919

Fax

(909) 888-0468

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Stacey Valdez

Title

Administrator

Phone

(909) 888-6919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Feldkamp Hospitality Dental Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irving Moore Feldkamp III, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1770815953
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1982016838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN",
            "address_2": "SUITE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083316",
            "telephone_number": "909-888-6919",
            "fax_number": "909-888-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN",
            "address_2": "SUITE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083316",
            "telephone_number": "909-888-6919",
            "fax_number": "909-888-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING M. FELDKAMP DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-888-6919"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "21985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "21985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feldkamp Hospitality Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iram Iqbal
• Cyrus Iranipour, D.C.
• Leslie Irazoque-Gomez
• Irene M Justin Wildwood Dental Group
• Irene P Lou, OD Inc
• Isha Inc
• Anita Marie Islas, LMFT
• Ousama Ismael, MD
• April F Ispas, MA
• Amber Israel

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.