NPIMap

Individual provider Active NPI

Kathryn Weber Ferrante, DMD

  • Dentist
  • Waltham, MA
National Provider Identifier
1699295352
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857597 Issued in MA
Practice address
976 Main St
Waltham, MA 02451-7413
Phone
(781) 894-3143
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857597 MA
Dentist 122300000X DN1857597 MA Primary

Addresses

Primary practice location

976 Main St
Waltham, MA 02451-7413

Mailing address

66 Maple Ave Unit 1
Cambridge, MA 02139-1128
Phone (954) 729-1811

Other practice location 1

293 Mount Auburn St
Watertown, MA 02472-1955
Phone (617) 923-9446

Other names 1

  • Kathryn Ellen Weber Former name

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
DN1857597MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fantasia, Failla, and Defrancesco Family Dentistry General Practice Past Accepting new patients
Philip D Fantasia Jr DDS General Practice Past Accepting new patients
Failla & Defrancesco Family Dentistry, LLC Dentist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699295352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAPLE AVE UNIT 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391128",
            "telephone_number": "954-729-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517413",
            "telephone_number": "781-894-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Mount Auburn St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024721955",
            "country_code": "US",
            "telephone_number": "617-923-9446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRANTE",
        "first_name": "KATHRYN",
        "middle_name": "WEBER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857597",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WEBER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.