Active NPI
Susan Janine Ferrell
- Dental Hygienist
- St Paul, MN
National Provider Identifier
1841758851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H3985
- Practice address
- East Side Dental
895 East 7TH Street
St Paul, MN 55106 - Phone
- (651) 702-7500
- Fax
- (651) 602-7518
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H3985 | MN | Primary |
Addresses
Primary practice location
East Side Dental
895 East 7TH Street
St Paul, MN 55106
Mailing address
East Side Dental
895 East 7TH Street
St Paul, MN 55106
Phone (651) 702-7500
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
| License | State | Type | Specialty |
|---|---|---|---|
| H3985 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1841758851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EAST SIDE DENTAL",
"address_2": "895 EAST 7TH STREET",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55106",
"telephone_number": "651-702-7500",
"fax_number": "651-602-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST SIDE DENTAL",
"address_2": "895 EAST 7TH STREET",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55106",
"telephone_number": "651-702-7500",
"fax_number": "651-602-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "SUSAN",
"middle_name": "JANINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H3985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.