Marinelli & Ferentchak, DDS, SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4039 Issued in WI

Legal business name

MARINELLI & FERENTCHAK, DDS, SC

Practice address

1011 N Mayfair Rd
Suite 303
Wauwatosa, WI 53226-3431

Phone

(414) 771-4480

Fax

(414) 771-8862

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Paul Ferentchak, DDSNPI 1003914607

Title

Partner

Phone

(414) 771-4480

Specialties & licenses 1

Addresses

Other names 1

• Drs. Marinelli & Ferentchak Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Paul Ferentchak, DDS

  • General Practice Dentistry
  • Wauwatosa, WI
  • NPI 1003914607
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851499362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "SUITE 303",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-771-4480",
            "fax_number": "414-771-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "SUITE 303",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-771-4480",
            "fax_number": "414-771-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINELLI & FERENTCHAK, DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERENTCHAK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-771-4480",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Marinelli & Ferentchak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary John Manthe, DPT
• Rebecca Marchan, OTR/L
• Sarah Christine Marciniak, PHARMD, RPH
• Elizabeth A Margrett, DDS
• Patricia K. Marik, PSY.D.
• Mark Hochmuth PHD LLC
• Markerry Enterprises LLC
• Markerry Enterprises LLC
• Zarina Markova, MD
• Sarah Marowski-Richmond, MD

• General Practice Dentistry in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.