Individual provider Active NPI

Katherine E. Ferry, DDS

  • Periodontics
  • Columbus, IN
National Provider Identifier
1114524477
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12013206A Issued in IN
Practice address
3180 Middle Rd
Columbus, IN 47203-2298
Phone
(812) 372-2141
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 12013206A IN Primary

Addresses

Primary practice location

3180 Middle Rd
Columbus, IN 47203-2298

Mailing address

3180 Middle Rd
Columbus, IN 47203-2298
Phone (812) 350-4465

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL keferry@iu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12013206AINMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dsofc LLC Current Accepting new patients

Locations

3180 Middle Rd
Columbus, IN 47203
Phone (812) 372-2141

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1114524477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 MIDDLE RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032298",
            "telephone_number": "812-350-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MIDDLE RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032298",
            "telephone_number": "812-372-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "KATHERINE",
        "middle_name": "E.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12013206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "keferry@iu.edu",
            "affiliation": "N",
            "endpointDescription": "keferry@iu.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4303 E Windsor Ln",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472014022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.