Active NPI
Vincent Ferretti, DDS
- Dentist
- Fort Cavazos, TX
National Provider Identifier
1083014435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12050467-9921
- Practice address
- 36000 Shoemaker Lane
Suite 1051
Fort Cavazos, TX 76544 - Phone
- (254) 286-7402
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12050467-9921 | UT | Primary |
Addresses
Primary practice location
36000 Shoemaker Lane
Suite 1051
Fort Cavazos, TX 76544
Mailing address
554 Keily Street
Bureau of Medicine and Surgery Cent Cred and Priv Dir
Jacksonville, FL 32212
Phone (757) 953-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604001487 | UT | Order and Referring Only - Dentist | 4688145261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12050467-9921 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1083014435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 KEILY STREET",
"address_2": "BUREAU OF MEDICINE AND SURGERY CENT CRED AND PRIV DIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "757-953-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 SHOEMAKER LANE",
"address_2": "SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-286-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRETTI",
"first_name": "VINCENT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-03",
"last_updated": "2025-05-08",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "12050467-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.