Active NPI
Emilio D. Ferrara, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Kent, OH
National Provider Identifier
1194919217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 12449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2597104 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Kent, OH
- NPI 1528047479
-
- Oral and Maxillofacial Surgery (Dentist)
- Griffin, GA
- NPI 1629073465
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.