DR. DILLON LEE FEIGENBAUM DDS
NPI 1871084145
Oral & Maxillofacial Surgery in Grand Rapids, MI

Q: What is Dillon Feigenbaum's NPI number?

The NPI number for Dillon Feigenbaum is 1871084145. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Q: What is Dillon Feigenbaum's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Dillon Feigenbaum was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 22, 2018PECOS Enrolled

4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525(616) 361-7327 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Jun 26, 2024, May 22, 2018 (3 updates tracked since 2018).

On this page

About Dr. Dillon Lee Feigenbaum Dds NPPES

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

DR. DILLON LEE FEIGENBAUM DDS (NPI 1871084145) is an individual oral & maxillofacial surgery provider in Grand Rapids, Michigan, licensed in Michigan (2901600157) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1871084145

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. DILLON LEE FEIGENBAUMCredential: DDS

Location Address4349 SAWKAW DR NEGrand Rapids, MI 49525-1768

Mailing Address27 Library St Ne Apt 401Grand Rapids, MI 49503-3274 · (631) 944-2202

Phone(616) 361-7327

Sole ProprietorNo

Enumeration DateMay 22, 2018

Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1871084145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in MI · 2901600157

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

4349 SAWKAW DR NE, Grand Rapids, MI 49525

Open in Google Maps ↗

Secondary Practice Location 1

Location 1158 Marcell Dr NE Ste BRockford, MI 49341-1393 · Phone (616) 361-7327 · Fax (616) 361-9882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, Guardian, Priority Health.Insurance ›

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. Dillon Lee Feigenbaum Dds 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.

Other Providers at the Same Location NPPES 6

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

MARK GRINZINGER DDS, MD

Dentist (Oral and Maxillofacial Surgery)