Individual provider Active NPI

Christopher Ferlita, DMD

  • General Practice Dentistry
  • New Albany, IN
National Provider Identifier
1952885840
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013007A Issued in IN
Practice address
2241 State St Ste C
New Albany, IN 47150-4949
Phone
(812) 945-5100
NPI assigned
Sep 18, 2018
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10173 KY
General Practice Dentistry 1223G0001X 12013007A IN Primary

Addresses

Primary practice location

2241 State St Ste C
New Albany, IN 47150-4949

Mailing address

2241 State St Ste C
New Albany, IN 47150-4949
Phone (812) 945-5100

Other practice location 1

4701 Southern Pkwy
Louisville, KY 40214-1424
Phone (502) 366-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130002698 KY Order and Referring Only - DentistPractitioner - Dentist 1951648831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013007AINMDGeneral Practice Dentistry
10173KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth G Dale, DDS, LLC General Practice PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1952885840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 STATE ST STE C",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504949",
            "telephone_number": "812-945-5100",
            "fax_number": "812-945-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 STATE ST STE C",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504949",
            "telephone_number": "812-945-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Southern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402141424",
            "country_code": "US",
            "telephone_number": "502-366-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERLITA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10173",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013007A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.