Anthony Ferrera DDS LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

57429 Issued in CA

Legal business name

ANTHONY FERRERA DDS LLC

Practice address

1740 Marco Polo Way
Suite #12
Burlingame, CA 94010-4522

Phone

(650) 697-4999

Fax

(650) 697-7625

NPI assigned

Nov 15, 2011

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony W Ferrera, DDSNPI 1700011285

Title

Owner

Phone

(650) 697-4999

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Anthony William Ferrera, DDS

  • Dentist
  • San Mateo, CA
  • NPI 1700011285
  Medicare reassignment NPD Authorized official
• Brian Christopher Martin, DDS

  • General Practice Dentistry
  • Santa Barbara, CA
  • NPI 1114170669
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1821375072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY",
            "address_2": "SUITE #12",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104522",
            "telephone_number": "650-697-4999",
            "fax_number": "650-697-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY",
            "address_2": "SUITE #12",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104522",
            "telephone_number": "650-697-4999",
            "fax_number": "650-697-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY FERRERA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "FERRERA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-697-4999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "57429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FI115A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6598950001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Denae Angstadt, M.A.
• Anita M. Prakash, M.D., F.a.C.C., PC
• Anne Thai MD, a Professional Corporation (Anne Thai MD)
• Cassandra Annunziata, PA
• Maximo Antezana
• Anthony Russo, M.D., Inc.
• Jennifer Jaber Anton, LMFT
• Tayla Mayary Menon Antunes
• Anx Home Healthcare
• Anx Hospice Care Nursing Inc. (ANX Hospice Care)

• Customized Equipment (DME) in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.