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DR. CHAD WILLIAM FEGAN D.D.S.
NPI 1063727402
Dentist in Red Lake, MN

Active since August 10, 2010PECOS Enrolled
24760 HOSPITAL DRIVE, RED LAKE, MN 56671(218) 679-3912(218) 679-0189 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chad William Fegan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAD WILLIAM FEGAN D.D.S. (NPI 1063727402) is an individual dentist in Red Lake, Minnesota, licensed in Michigan (2901020243) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063727402
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHAD WILLIAM FEGANCredential: D.D.S.
Location Address24760 HOSPITAL DRIVERed Lake, MN 56671
Mailing Address12970 Dunham RdHartland, MI 48353-2118 · (218) 679-3912 · Fax (218) 679-0189
Phone(218) 679-3912
Fax(218) 679-0189
Sole ProprietorNo
Enumeration DateAugust 10, 2010
✔ NPI 1063727402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901020243
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
24760 HOSPITAL DRIVE, Red Lake, MN 56671
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chad William Fegan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA BAUTISTA DDS,MDS
Dentist (General Practice)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Beltrami County (218) 679-0119
JENNY BELLE HOLLIS L.I.C.S.W.
Social Worker (Clinical)
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3316
MICHELLE ANN MATHISON RN
Registered Nurse
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-0193
SAMANTHA GUSTAFSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-2825
LUKE JOSEPH PELTIER PHARMD
Pharmacist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3912
SAUNDA ST MARTIN NP, APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Beltrami County (218) 679-3912
ANDREA MICHELLE BESTUL RPH, PHARMD
Pharmacist
24760 HOSPITAL DRIVE, HOSPITAL
RED LAKE, MN 56671
Beltrami County (218) 679-3912
KATELYN JO DAHEDL
Physician Assistant
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Beltrami County (218) 679-3912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Fegan's NPI number?

The NPI number for Chad Fegan is 1063727402. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Chad Fegan located?

Chad Fegan practices at 24760 Hospital Drive, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Chad Fegan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Chad Fegan enrolled in Medicare?

Yes. Chad Fegan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Fegan was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.