Active NPI
Mark S McFerran, DDS
- Dentist
- Jackson, MI
National Provider Identifier
1184740896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14517
- Practice address
- 2002 Spring Arbor Rd Ste C
Jackson, MI 49203-2888 - Phone
- (517) 782-0900
- Fax
- (517) 782-0904
- NPI assigned
- Mar 22, 2007
- 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 | 14517 | MI | Primary |
Addresses
Primary practice location
2002 Spring Arbor Rd Ste C
Jackson, MI 49203-2888
Mailing address
2002 Spring Arbor Rd Ste C
Jackson, MI 49203-2888
Phone (517) 782-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14517 | Other | MI | LICENSE NUMBER |
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 |
|---|---|---|---|
| 14517 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1184740896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 SPRING ARBOR RD STE C",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032888",
"telephone_number": "517-782-0900",
"fax_number": "517-782-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 SPRING ARBOR RD STE C",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032888",
"telephone_number": "517-782-0900",
"fax_number": "517-782-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFERRAN",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "14517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "14517",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.