Justin Ferguson, D.D.S., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401-410923 Issued in VA

Legal business name

JUSTIN FERGUSON, D.D.S., PC

Practice address

138 Highlands Drive
Lebanon, VA 24266

Phone

(276) 889-5141

Fax

(276) 889-0770

NPI assigned

Jul 31, 2009

Organization subpart

Yes

Parent organization

BALL & FERGUSON DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Justin Warren Ferguson, D.D.S.NPI 1619038767

Title

Dentist

Phone

(276) 889-5141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin W Ferguson, DDS

  • General Practice Dentistry
  • Lebanon, VA
  • NPI 1619038767
  NPD (past) Authorized official

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1124259668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2518",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662518",
            "telephone_number": "276-889-5141",
            "fax_number": "276-889-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HIGHLANDS DRIVE",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-5141",
            "fax_number": "276-889-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN FERGUSON, D.D.S., PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALL & FERGUSON DENTISTRY, LLC",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "276-889-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401-410923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177664",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Dawn Jenkins, OTR/L
• Brenda Jessee, FNP
• Shenia Diane Johnson, DNP FNP-BC, PMHNP-BC
• Kristie L Jones, LPC
• Thomas Andrew Jones, FNP-C
• Hailey Justus
• Kathy Jo Justus, CFNP
• K-VA-T Food Stores Inc
• Edgar Michael Kahn, M.D.
• Jonathan Keen, OD

• General Practice Dentistry in Lebanon, VA
• Providers in Lebanon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.