Robert Earl Ferguson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39795 Issued in CA

Practice address

1198 Meridian Ave
Suite a
San Jose, CA 95125-4326

Phone

(408) 266-4242

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134259062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14373 LENRAY LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242915",
            "telephone_number": "408-371-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 MERIDIAN AVE",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254326",
            "telephone_number": "408-266-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Fenton
• Ryan Ferdowsian, MD
• Roya Fereidooni, PT
• Kathleen Ferenchak
• Rebekah Ferguson
• Narjes Ferjani, MD
• Saige Ferko, ACSW 124955
• Elizabeth Fernandez-Duarte
• Alejandra Fernandez-Zamora
• Adrian Fernandez, MA COUNSELING, PPS

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.