Active NPI
Mark A. Ferrari, DDS
- Periodontics
- Albuquerque, NM
National Provider Identifier
1356366975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DD5217
- Practice address
- 10250 Cottonwood Park NW Ste B
Albuquerque, NM 87114-7019 - Phone
- (055) 890-0858
- Fax
- (055) 890-1402
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DD5217 | NM | Primary |
Addresses
Primary practice location
10250 Cottonwood Park NW Ste B
Albuquerque, NM 87114-7019
Mailing address
10250 Cottonwood Park NW Ste B
Albuquerque, NM 87114-7019
Phone (055) 890-0858
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 |
|---|---|---|---|
| DD5217 | NM | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1356366975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10250 COTTONWOOD PARK NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871147019",
"telephone_number": "055-890-0858",
"fax_number": "055-890-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10250 COTTONWOOD PARK NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871147019",
"telephone_number": "055-890-0858",
"fax_number": "055-890-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARI",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NM",
"license": "DD5217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.