Individual provider Active NPI

Thomas Charles Ferlmann, D.M.D.

  • General Practice Dentistry
  • Peoria, IL
National Provider Identifier
1396858130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
4325 N Sheridan Rd
Peoria, IL 61614-5966
Phone
(309) 685-0032
Fax
(309) 685-6451
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

4325 N Sheridan Rd
Peoria, IL 61614-5966

Mailing address

4325 N Sheridan Rd
Peoria, IL 61614-5966
Phone (309) 685-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001624 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800197724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019020248ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas C. Ferlmann DMD , PC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396858130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145966",
            "telephone_number": "309-685-0032",
            "fax_number": "309-685-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145966",
            "telephone_number": "309-685-0032",
            "fax_number": "309-685-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLMANN",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.