Active NPI
Jacqueline Ficalora, DDS
- General Practice Dentistry
- Belmont, MA
National Provider Identifier
1942354378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17482
- Practice address
- 75 Trapelo Rd
Belmont, MA 02478-4448 - Phone
- (617) 484-1760
- Fax
- (617) 484-4130
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17482 | MA | Primary |
Addresses
Primary practice location
75 Trapelo Rd
Belmont, MA 02478-4448
Mailing address
75 Trapelo Rd
Belmont, MA 02478-4448
Other names 1
- Dr. Jacqueline Ferraro
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 |
|---|---|---|---|
| 17482 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmont Family Dentistry | General Practice | Past | Accepting new patients |
| Brachowicz Dental | Past | 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.
-
- General Practice Dentistry
- Belmont, MA
- NPI 1932437936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942354378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 TRAPELO RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 TRAPELO RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784448",
"telephone_number": "617-484-1760",
"fax_number": "617-484-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICALORA",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "17482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "FERRARO",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.