Individual provider Active NPI

Gemma Magleo Ferrer, DMD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1174747968
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56618 Issued in CA
Practice address
229 7TH St
San Francisco, CA 94103-4003
Phone
(415) 503-6033
Fax
(415) 503-6098
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20363 TX
General Practice Dentistry 1223G0001X 56618 CA Primary

Addresses

Primary practice location

229 7TH St
San Francisco, CA 94103-4003

Mailing address

229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6033

Other identifiers 1

IdentifierTypeStateIssuer
1417560MedicaidTX

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
I20140424001878 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062645153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56618CAMDGeneral Practice Dentistry
20363TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1174747968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6033",
            "fax_number": "415-503-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034003",
            "telephone_number": "415-503-6033",
            "fax_number": "415-503-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "GEMMA",
        "middle_name": "MAGLEO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.