Individual provider Active NPI

Andre Ferreira, DMD,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anniston, AL
National Provider Identifier
1205023587
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5401 Issued in AL
Practice address
1677 Golden Springs Rd
Anniston, AL 36207-7097
Phone
(256) 831-7515
Fax
(256) 831-7517
NPI assigned
Oct 1, 2007
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5401 AL Primary

Addresses

Primary practice location

1677 Golden Springs Rd
Anniston, AL 36207-7097

Mailing address

1677 Golden Springs Rd
Anniston, AL 36207-7097
Phone (256) 831-7515

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5401ALMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1205023587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 GOLDEN SPRINGS RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077097",
            "telephone_number": "256-831-7515",
            "fax_number": "256-831-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 GOLDEN SPRINGS RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077097",
            "telephone_number": "256-831-7515",
            "fax_number": "256-831-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.