Michael Ferguson, DMD
Individual provider
Active NPI
Dentist · Montague, MI
NPI 1225514714 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1225514714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901022661 (MI)
- Practice address
- 8670 Ferry St
Montague, MI 49437-1208
- Phone
- (231) 894-4820
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20180913003099 |
MI |
Order and Referring Only - Dentist
Practitioner - Dentist |
7214287176 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 2901022661 | MI | MD | Dentist |
Practice roles
Interoperability endpoints
- Direct secure messaging: michael.ferguson.p1@direct.bfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
2901022661 |
MI |
Yes |
Addresses
Primary practice location
8670 Ferry St
Montague, MI 49437-1208
Mailing address
8670 Ferry St
Montague, MI 49437-1208
Phone (231) 894-4820
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
michael.ferguson.p1@direct.bfhc.nextgenshare.com |
|
Baldwin Family Health Care |
Other providers in Montague, MI
- Sara Curtis
- Kayla Dibble
- Robin Dawn Dunn, MA, LLPC
- Joseph Ferguson, DDS
- Matthew William Ferguson, DDS
- Gundersen and Zuker PTR
- Sara Catherine Hansen, MS
- Michaelanne Hendrixon, AT, ATC
- Daniel Edwin Hoeker, RN
- Jillian M Hommel, MA, LLP
All providers in Montague, MI
· Dentist in Michigan