Active NPI
Thomas Rhame Ferrell, D.D.S.
- General Practice Dentistry
- Davidson, NC
National Provider Identifier
1154547826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7849
- Practice address
- 11195 Da Vinci Drive
Davidson, NC 28036 - Phone
- (704) 439-3191
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- 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 | 7849 | NC | Primary |
Addresses
Primary practice location
11195 Da Vinci Drive
Davidson, NC 28036
Mailing address
11195 Da Vinci Drive
Davidson, NC 28036
Phone (704) 439-3191
Other practice location 1
1824 E Arbors Dr Ste 380
Charlotte, NC 28262-2693
Phone (704) 307-0950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 25, 2016 through May 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7849 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas R Ferrell, DDS, PA | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Davidson, NC
- NPI 1194995886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1154547826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11195 DA VINCI DRIVE",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "28036",
"telephone_number": "704-439-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11195 DA VINCI DRIVE",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "28036",
"telephone_number": "704-439-3191"
}
],
"practiceLocations": [
{
"address_1": "1824 E Arbors Dr Ste 380",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282622693",
"country_code": "US",
"telephone_number": "704-307-0950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRELL",
"first_name": "THOMAS",
"middle_name": "RHAME",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.