Douglas Mims Ferris Jr., D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5797-015 Issued in WI

Practice address

2418 Crossroads Dr
Suite 2900
Madison, WI 53718-7995

Phone

(608) 442-3300

Fax

(608) 442-3303

NPI assigned

Jul 28, 2006

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 5, 2019 through Mar 5, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Endodontics

  • Endodontics
  • Madison, WI
  • NPI 1154435246
  NPD (past)
• Capital Endodontics LLC

  • Endodontics
  • Madison, WI
  • NPI 1184837296
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1306850391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 CROSSROADS DRIVE",
            "address_2": "SUITE 2900",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "608-442-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 CROSSROADS DR",
            "address_2": "SUITE 2900",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187995",
            "telephone_number": "608-442-3300",
            "fax_number": "608-442-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "DOUGLAS",
        "middle_name": "MIMS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "5797-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ermelio D Ferra Hernandez, SAC-IT
• Peter A Ferrazzano, MD
• Thomas J. Ferrella, MD
• Aileen Marie Ferris
• Arielle Laurie Ferris, PT, DPT
• Jacob Ferris
• Karen Ferris, MSPT
• Erin Ferrone
• Susan S Ferson, NP
• Mounir Fertikh, MD

• Endodontics in Madison, WI
• Providers in Madison, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.