Brianne Nicole Ferguson

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901600714 Issued in MI

Practice address

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

Phone

(231) 780-3200

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brianne Ferguson DDS PLLC

  • Pediatric Dentistry
  • Norton Shores, MI
  • NPI 1013623982
  NPD Authorized official
• West Coast Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Muskegon, MI
  • NPI 1225116908
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1053930594",
    "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"
        },
        {
            "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": "231-780-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-948-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BRIANNE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901600714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2901600714",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kidsdentistry@comcast.net",
            "affiliation": "N",
            "address_1": "755 Seminole Rd Ste 101",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494416561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Garrison James Farr, O.D.
• Joseph William Farr, PTA
• Daniel Allen Farrell, M.D.
• Sandra L Felt, LMSW
• Rosita Deborah Fennema, LMT
• Mike Fields
• Jacob Michael Fischer, DDS
• Logan Fischer, DPT
• Angeline Marie Fisher, PA
• Megan Marie Fleese, DO

• Pediatric Dentistry in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.