Active NPI
Gina Marie Ferrari-Conlon, DDS
- General Practice Dentistry
- Troy, MI
National Provider Identifier
1326258039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901016271
- Practice address
- 5940 Livernois Rd
Troy, MI 48098-3141 - Phone
- (248) 680-1199
- Fax
- (248) 680-1164
- NPI assigned
- May 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016271 | MI | Primary |
Addresses
Primary practice location
5940 Livernois Rd
Troy, MI 48098-3141
Mailing address
5940 Livernois Rd
Troy, MI 48098-3141
Phone (248) 680-1199
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 |
|---|---|---|---|
| 2901016271 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326258039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480983141",
"telephone_number": "248-680-1199",
"fax_number": "248-680-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480983141",
"telephone_number": "248-680-1199",
"fax_number": "248-680-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARI-CONLON",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.