Active NPI
Joseph C Ferraro, DDS
- General Practice Dentistry
- Kimberly, WI
National Provider Identifier
1477583870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3312015
- Practice address
- 1037-B Truman St.
Kimberly, WI 54136 - Phone
- (920) 993-1008
- Fax
- (920) 993-0861
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603000603 | WI | Order and Referring Only - Dentist |
0547581571 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3312015 | WI | MD | General Practice Dentistry |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3312015 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1037-B Truman St.
Kimberly, WI 54136
Mailing address
1037-B Truman St.
Kimberly, WI 54136
Phone (920) 993-1008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477583870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037-B TRUMAN ST.",
"city": "KIMBERLY",
"state": "WI",
"postal_code": "54136",
"telephone_number": "920-993-1008",
"fax_number": "920-993-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037-B TRUMAN ST.",
"city": "KIMBERLY",
"state": "WI",
"postal_code": "54136",
"telephone_number": "920-993-1008",
"fax_number": "920-993-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3312015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kimberly, WI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.