Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992297071 Individual Practitioner Male Practitioner

Dr. Daniel Colin Fedyszyn , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Fedyszyn, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 16251 N CAVE CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16251 N Cave Creek Rd

Phoenix, AZ 850322976

Telephone 4808824545
Fax 6024090499
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D011037

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SD D1187

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
105129 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Thomas Knutson , MD

Psychiatry & Neurology - Psychiatry

NPI 1003109745

Doctor of Medicine (M.D.)

Bethany Killian

Counselor - Professional

NPI 1003567660
Nanette Klaus , LPC

Counselor - Mental Health

NPI 1003682303

Licensed Professional Counselor

Dr. Veronica Pace , MD

Family Medicine

NPI 1013599844

Doctor of Medicine (M.D.)

Annie Custer , LCSW

Social Worker - Clinical

NPI 1013626944

Licensed Clinical Social Worker

Cassidy Brooking-Lang , LCSW

Social Worker - Clinical

NPI 1033512249

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 23, 2024

Registered at 16251 N CAVE CREEK RD, PHOENIX, AZ 850322976 (Tel: 4808824545)

📍
Updated Business Mailing Address January 23, 2024

Registered at 7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 850204668 (Tel: 4808824545)

👤
Provider Name / Credentials Updated January 23, 2024

Recorded as DANIEL FEDYSZYN, DDS

NPI Profile Active June 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2018

Registered at 383 W STEAMBOAT DR STE 101, DAKOTA DUNES, SD 570495390 (Tel: 6052325898)

📍
Updated Business Mailing Address June 04, 2018

Registered at 383 W STEAMBOAT DR STE 101, DAKOTA DUNES, SD 570495390 (Tel: 6052325898)

👤
Provider Name / Credentials Updated June 04, 2018

Recorded as DANIEL FEDYSZYN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Dentist (License #D1187 in SD)

🟢
Initial NPI Registration & Enumeration June 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992297071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2018
Last Update: January 23, 2024
Sole Proprietor: Yes

Mailing Address

7500 N Dreamy Draw Dr Ste 145

Phoenix, AZ 850204668

Phone: 4808824545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.