NPIMap

Organization Active NPI

Patrick Ferry, D.M..D., P.a.

  • General Practice Dentistry
  • Bartow, FL
National Provider Identifier
1538448576
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17361 Issued in FL
Legal business name
PATRICK FERRY, D.M..D., P.A.
Practice address
715 S Broadway Ave
Bartow, FL 33830-5602
Phone
(863) 533-2185
Fax
(863) 533-8463
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Patrick M. Ferry, DMD
Title
Owner
Phone
(863) 533-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN17361 FL Primary

Addresses

Primary practice location

715 S Broadway Ave
Bartow, FL 33830-5602

Mailing address

715 S Broadway Ave
Bartow, FL 33830-5602
Phone (863) 533-2185

National Provider Directory

National Provider Directory

Locations

715 S Broadway Ave
Bartow, FL 33830
Phone (863) 533-2185

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1538448576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305602",
            "telephone_number": "863-533-2185",
            "fax_number": "863-533-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305602",
            "telephone_number": "863-533-2185",
            "fax_number": "863-533-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK FERRY, D.M..D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-533-2185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.