NPIMap

Organization Active NPI

Ferguson Family Chiropractic and Wellness Center, LLC

Doing business as Brian P. Ferguson

  • Chiropractor
  • North Canton, OH
National Provider Identifier
1174861496
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3764 Issued in OH
Legal business name
FERGUSON FAMILY CHIROPRACTIC AND WELLNESS CENTER, LLC
Doing business as
Brian P. Ferguson
Practice address
3313 Lee St NW
North Canton, OH 44720-4735
Phone
(330) 493-7970
Fax
(330) 493-7410
NPI assigned
Jan 21, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Brian P Ferguson, D.C.NPI 1891849493
Title
Partner
Phone
(330) 936-3082

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3764 OH Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4135 OH

Addresses

Primary practice location

3313 Lee St NW
North Canton, OH 44720-4735

Mailing address

3313 Lee St NW
North Canton, OH 44720-4735
Phone (330) 493-7970

Other names 1

  • Brian P. Ferguson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130716000285 OH Part B Supplier - Clinic/Group Practice 9032359005 Receives reassigned benefits from 7 practitioners
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Locations

3313 Lee St NW
North Canton, OH 44720
Phone (330) 818-2196

Practitioners & affiliated clinicians

Practitioners 8

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": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1174861496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 LEE ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204735",
            "telephone_number": "330-493-7970",
            "fax_number": "330-493-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 LEE ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204735",
            "telephone_number": "330-493-7970",
            "fax_number": "330-493-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON FAMILY CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-936-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3764",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian P. Ferguson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.