Individual provider Active NPI

Meg Ferdos, DMD

  • Dentist
  • Dacula, GA
National Provider Identifier
1467825653
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015101 Issued in GA
Practice address
635 Dacula Rd Ste 105
Dacula, GA 30019-2102
Phone
(678) 271-0718
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015101 GA Primary

Addresses

Primary practice location

635 Dacula Rd Ste 105
Dacula, GA 30019-2102

Mailing address

2786 Laurel Valley TRL
Buford, GA 30519-8137
Phone (706) 599-0336

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

LicenseStateTypeSpecialty
DN015101GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Professionals, PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1467825653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 LAUREL VALLEY TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198137",
            "telephone_number": "706-599-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 DACULA RD STE 105",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192102",
            "telephone_number": "678-271-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDOS",
        "first_name": "MEG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.