Individual provider Active NPI

Angela Marie Ferrari, D.D.S.

  • Dentist
  • Mount Shasta, CA
National Provider Identifier
1063506418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44170 Issued in CA
Practice address
301 East Alma Street
Mt. Shasta, CA 96067-2343
Phone
(530) 918-9522
Fax
(530) 918-9526
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44170 CA Primary

Addresses

Primary practice location

301 East Alma Street
Mt. Shasta, CA 96067-2343

Mailing address

301 East Alma Street
Mt. Shasta, CA 96067-2343
Phone (530) 918-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520002029 CA Order and Referring Only - DentistPractitioner - Dentist 9335438928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063506418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST ALMA STREET",
            "city": "MT. SHASTA",
            "state": "CA",
            "postal_code": "960672343",
            "telephone_number": "530-918-9522",
            "fax_number": "530-918-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST ALMA STREET",
            "city": "MT. SHASTA",
            "state": "CA",
            "postal_code": "960672343",
            "telephone_number": "530-918-9522",
            "fax_number": "530-918-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARI",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

Verify at the official NPI Registry.