NPIMap

Organization Active NPI

Wadsworth Family Dentistry, DRS Hanna, Ferguson and Dean, Inc

  • General Practice Dentistry
  • Wadsworth, OH
National Provider Identifier
1003186586
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21633 Issued in OH
Legal business name
WADSWORTH FAMILY DENTISTRY, DRS HANNA, FERGUSON AND DEAN, INC
Practice address
1374 Reimer Rd
Wadsworth, OH 44281-8164
Phone
(330) 335-2525
Fax
(330) 336-1700
NPI assigned
Dec 30, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Todd David Ferguson, DDSNPI 1154546257
Title
President
Phone
(330) 335-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21633 OH Primary

Addresses

Primary practice location

1374 Reimer Rd
Wadsworth, OH 44281-8164

Mailing address

1374 Reimer Rd
Wadsworth, OH 44281-8164
Phone (330) 335-2525

National Provider Directory

National Provider Directory

Locations

1374 Reimer Rd
Wadsworth, OH 44281
Phone (330) 335-2525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1003186586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 REIMER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818164",
            "telephone_number": "330-335-2525",
            "fax_number": "330-336-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 REIMER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818164",
            "telephone_number": "330-335-2525",
            "fax_number": "330-336-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH FAMILY DENTISTRY, DRS HANNA, FERGUSON AND DEAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-335-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.