Audrey Fernandes

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859262 Issued in MA

Practice address

2344 Massachusetts Ave
Cambridge, MA 02140-1852

Phone

(617) 623-2223

NPI assigned

Oct 19, 2016

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1457802902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ORANGE ST APT 1",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501997",
            "telephone_number": "678-736-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401852",
            "telephone_number": "617-623-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200591022",
            "country_code": "US",
            "telephone_number": "202-806-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4846 Jimmy Carter Blvd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "30093",
            "country_code": "US",
            "telephone_number": "770-806-0162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015306",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhi Chao Feng, DMD
• Marisa G Fenoglio, DMD
• Fenway Community Health Center, Inc
• Vanessa R Ferguson, ASSOCIATES DEGREE
• Samson B Ferm, MD
• Mauricio Fernandes, M.D.
• Rheinila Fernandes, M.D.
• Jillian Christine Fernandez, OTD, OTR/L
• Sarah Fernandez
• Marybeth Ferrante, MD

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.