Individual provider Active NPI

Jessica Henriques Ferreira, DDS

  • Dentist
  • Austin, TX
National Provider Identifier
1750067864
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39598 Issued in TX
Practice address
8901 Vertex Blvd Unit 130
Austin, TX 78747-2793
Phone
(512) 677-7443
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39598 TX Primary

Addresses

Primary practice location

8901 Vertex Blvd Unit 130
Austin, TX 78747-2793

Mailing address

43 Rainey St Apt 501
Austin, TX 78701-4430
Phone (281) 837-6988

Other practice location 1

11420 Fm 2244 Rd Ste B150
Austin, TX 78738-5530
Phone (512) 263-8500

Other practice location 2

2719 E 7th St
Austin, TX 78702-3907
Phone (512) 473-8444

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
39598TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Family Dental Center Dentist Past Accepting new patients
Latiolais Kimes Dental, PLLC PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1750067864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RAINEY ST APT 501",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014430",
            "telephone_number": "281-837-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 VERTEX BLVD UNIT 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472793",
            "telephone_number": "512-677-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11420 Fm 2244 Rd Ste B150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787385530",
            "country_code": "US",
            "telephone_number": "512-263-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2719 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787023907",
            "country_code": "US",
            "telephone_number": "512-473-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "JESSICA",
        "middle_name": "HENRIQUES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.