NPIMap

Organization Active NPI

Blake Ferando DMD LLC

  • General Practice Dentistry
  • O'Fallon, MO
National Provider Identifier
1750868915
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2018015357 Issued in MO
Legal business name
BLAKE FERANDO DMD LLC
Practice address
346 Fort Zumwalt SQ
O Fallon, MO 63366-3065
Phone
(636) 978-6400
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Blake Anthony Ferando, DMDNPI 1306295308
Title
Doctor
Phone
(636) 978-6400

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 2018015357 MO Primary

Addresses

Primary practice location

346 Fort Zumwalt SQ
O Fallon, MO 63366-3065

Mailing address

346 Fort Zumwalt SQ
O Fallon, MO 63366-3065
Phone (636) 978-6400

National Provider Directory

National Provider Directory

Locations

346 Fort Zumwalt Sq
O Fallon, MO 63366
Phone (636) 978-6400

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": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1750868915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 FORT ZUMWALT SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663065",
            "telephone_number": "636-978-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 FORT ZUMWALT SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663065",
            "telephone_number": "636-978-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE FERANDO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "FERANDO",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "636-978-6400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018015357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.