Organization Active NPI

Yaciel F Ferrera DMD PLLC

  • General Practice Dentistry
  • Merritt Island, FL
National Provider Identifier
1710760467
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YACIEL F FERRERA DMD PLLC
Practice address
295 S Plumosa St
Merritt Island, FL 32952-3525
Phone
(321) 452-6000
Fax
(321) 453-8823
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Yaciel F Ferrera, DMDNPI 1558850438
Title
Owner/President
Phone
(407) 744-6568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

295 S Plumosa St
Merritt Island, FL 32952-3525

Mailing address

295 S Plumosa St
Merritt Island, FL 32952-3525
Phone (321) 452-6000

National Provider Directory

National Provider Directory

Locations

295 S Plumosa St
Merritt Island, FL 32952
Phone (321) 452-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1710760467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S PLUMOSA ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523525",
            "telephone_number": "321-452-6000",
            "fax_number": "321-453-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S PLUMOSA ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523525",
            "telephone_number": "321-452-6000",
            "fax_number": "321-453-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACIEL F FERRERA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "FERRERA",
        "authorized_official_first_name": "YACIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-744-6568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.