IndividualActive
Cassandra Fevelo, DMD
NPI 1497130868 · Dentist · Philadelphia, PA
Provider details
- NPI number
- 1497130868
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DS041269 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4700 Wissahickon Ave Ste 118
Philadelphia, PA 19144-4248
Phone: (267) 597-3600
Street-level locationGet directions
Mailing address
4700 Wissahickon Ave
Philadelphia, PA 19144
Additional practice locations (1)
- 2888 W Grand BlvdDetroit, MI 48202-2612Phone: (313) 875-5131
Registry dates
- Enumerated
- 2015-07-27
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.