NPIMap

Organization Active NPI

Brianne Ferguson DDS PLLC

Doing business as West Coast Pediatric Dentistry

  • Pediatric Dentistry
  • Norton Shores, MI
National Provider Identifier
1013623982
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BRIANNE FERGUSON DDS PLLC
Doing business as
West Coast Pediatric Dentistry
Practice address
755 Seminole Rd Ste 101
Norton Shores, MI 49441-6561
Phone
(219) 808-2498
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Authorized official

Name
Dr. Brianne N Ferguson, DDS, MSDNPI 1053930594
Title
President
Phone
(231) 780-3200

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

755 Seminole Rd Ste 101
Norton Shores, MI 49441-6561

Mailing address

755 Seminole Rd Ste 101
Norton Shores, MI 49441-6561
Phone (231) 780-3200

Other names 1

  • West Coast Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

755 Seminole Rd
Ste 101
Norton Shores, MI 49441
Phone (231) 780-3200

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": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1013623982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SEMINOLE RD STE 101",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416561",
            "telephone_number": "231-780-3200",
            "fax_number": "231-780-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SEMINOLE RD STE 101",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416561",
            "telephone_number": "219-808-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIANNE FERGUSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-780-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Coast Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.