DR. DOUGLAS MIMS FERRIS JR. (NPI# 1306850391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306850391 |
Entity Type | Individual |
Full Name | DR. DOUGLAS MIMS FERRIS JR. |
Credential | D.M.D. |
Practice Address |
2418 Crossroads Dr Suite 2900 Madison WI 53718-7995 |
Mailing Address |
2418 Crossroads Drive Suite 2900 Madison WI 53718 |
Practice Telephone | 6084423300 |
Practice Fax Number | 6084423303 |
Mailing Telephone | 6084423300 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2017-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
5797-015 | WI | Dental Providers |
Street Address |
2418 CROSSROADS DR SUITE 2900 |
City | MADISON |
State | WI |
Zip Code | 53718-7995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669424347 | Nabeel A. Khan | Dentist | 2418 Crossroads Dr, Suite 2900, Madison, WI 53718-7995 | 2006-05-17 |
1184837296 | Capital Endodontics LLC | Dentist | 2418 Crossroads Dr, 2900, Madison, WI 53718-2425 | 2007-05-07 |
1396967386 | Chad Anthony Campanelli | Dentist | 2418 Crossroads Dr, Suite 2900, Madison, WI 53718-7995 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
Find all providers in zip 53718 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891822474 | James Derek White | Dentist | 1 Woodgreen Pl, Suite 100, Madison, MS 39110-8161 | 2007-02-28 |
1447333414 | David John Landwehr | Dentist | 2418 Crossroads Dr Ste 2900, Madison, WI 53718-2425 | 2006-10-23 |
1619068764 | Andrew P Wright | Dentist | 406 Science Dr Ste 410, Madison, WI 53711-1068 | 2006-09-27 |
1134238322 | Lance D Dillon | Dentist | 927 Highway 51, Madison, MS 39110 | 2006-08-30 |
1154435246 | Capital Endodontics | Dentist | 2418 Crossroads Dr Ste #2900, Madison, WI 53718-2425 | 2006-08-18 |
1669424347 | Nabeel A. Khan | Dentist | 2418 Crossroads Dr, Suite 2900, Madison, WI 53718-7995 | 2006-05-17 |
1225034374 | B Peter Austin | Dentist | 406 Science Dr, Ste 410, Madison, WI 53711-1068 | 2005-06-23 |
1881967388 | Madison Endodontics, LLC | Dentist | 34 Hughes Rd, Suite A, Madison, AL 35758-3000 | 2012-02-14 |
1033320114 | Harry M Eudowe | Dentist | 1291 Boston Post Rd, Suite 103, Madison, CT 06443-3476 | 2007-05-24 |
1073726030 | Marius Alexandru Marinescu | Dentist | 1291 Boston Post Rd, Suite 103, Madison, CT 06443-3476 | 2007-05-07 |
Find all providers in MADISON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.