Active NPI
Miranda Jo Ferrari, DDS
- General Practice Dentistry
- Charleston, WV
National Provider Identifier
1144880808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4402
- Practice address
- 3 Creekstone RDG
Charleston, WV 25309-8986 - Phone
- (304) 677-1308
- NPI assigned
- Jun 15, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4402 | WV | Primary |
Addresses
Primary practice location
3 Creekstone RDG
Charleston, WV 25309-8986
Mailing address
3 Creekstone RDG
Charleston, WV 25309-8986
Phone (304) 677-1308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4402 | WV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1144880808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CREEKSTONE RDG",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253098986",
"telephone_number": "304-677-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CREEKSTONE RDG",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253098986",
"telephone_number": "304-677-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARI",
"first_name": "MIRANDA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.