Organization Active NPI

Emilio D. Ferrara, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kent, OH
National Provider Identifier
1194919217
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12449 Issued in OH
Legal business name
EMILIO D. FERRARA, DDS
Practice address
1930 Sr 59
Suitee
Kent, OH 44240
Phone
(330) 678-9942
Fax
(330) 678-3365
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Linda L Black
Title
Office Manager
Phone
(330) 678-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 12449 OH Primary

Addresses

Primary practice location

1930 Sr 59
Suitee
Kent, OH 44240

Mailing address

1930 Sr 59
Suitee
Kent, OH 44240
Phone (330) 678-9942

Other identifiers 1

IdentifierTypeStateIssuer
2597104MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1194919217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SR 59",
            "address_2": "SUITEE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-678-9942",
            "fax_number": "330-678-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 SR 59",
            "address_2": "SUITEE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-678-9942",
            "fax_number": "330-678-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIO D. FERRARA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-678-9942",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "12449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.