Fernanda D. Marchi, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

008784 Issued in CT

Practice address

1275 Post Rd
Suite 211
Fairfield, CT 06824-6015

Phone

(203) 292-6644

NPI assigned

Sep 25, 2006

Reactivated

Mar 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Fernanda Marchi Rudy Former name

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1659695955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUITE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-292-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUITE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-292-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1659695955",
        "last_name": "MARCHI",
        "first_name": "FERNANDA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-02-07",
        "deactivation_date": "2010-03-03",
        "reactivation_date": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "049007",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "008784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDA",
            "last_name": "RUDY",
            "middle_name": "MARCHI",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.