Organization Active NPI

Ferris Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boerne, TX
National Provider Identifier
1528186871
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20197 Issued in TX
Legal business name
FERRIS ORTHODONTICS PA
Practice address
1685 River Rd
Boerne, TX 78006-2467
Phone
(830) 816-5616
Fax
(830) 331-2325
NPI assigned
Mar 26, 2007
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Tyler Whitman Ferris, DDS MSNPI 1881715100
Title
President
Phone
(830) 816-5616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20197 TX Primary

Addresses

Primary practice location

1685 River Rd
Boerne, TX 78006-2467

Mailing address

24165 W Interstate 10 Ste 209
San Antonio, TX 78257-1160
Phone (210) 698-2480

National Provider Directory

National Provider Directory

Locations

1685 River Rd
Boerne, TX 78006
Phone (830) 816-5616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1528186871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W INTERSTATE 10 STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-698-2480",
            "fax_number": "210-698-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 RIVER RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062467",
            "telephone_number": "830-816-5616",
            "fax_number": "830-331-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIS ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "WHITMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-816-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.