Individual provider Active NPI

Delweyn Scott Ferguson, D.C.

  • Chiropractor
  • Beavercreek, OH
National Provider Identifier
1306986161
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3008 Issued in OH
Practice address
1360 N Fairfield Rd Ste B
Beavercreek, OH 45432-2654
Phone
(937) 426-0777
Fax
(888) 551-1489
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3008 OH Primary

Addresses

Primary practice location

1360 N Fairfield Rd Ste B
Beavercreek, OH 45432-2654

Mailing address

1360 N Fairfield Rd Ste B
Beavercreek, OH 45432-2654
Phone (937) 426-0777

Other identifiers 3

IdentifierTypeStateIssuer
0007418215OtherOHAETNA
2217167MedicaidOH
ANTHEM BCBSOtherOH000000195483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000376 OH Practitioner - Chiropractic 8921997164 Practice locations: Beavercreek, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1360 N Fairfield Rd
Suite B
Beavercreek, OH 45432-2654
Phone (937) 426-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ferguson Chiropractic Solutions Chiropractor PastSince Jan 1, 1990 Accepting new patients
Ferguson Chiropractic Solutions LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1306986161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N FAIRFIELD RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322654",
            "telephone_number": "937-426-0777",
            "fax_number": "888-551-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N FAIRFIELD RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322654",
            "telephone_number": "937-426-0777",
            "fax_number": "888-551-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DELWEYN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-04-19",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007418215",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217167",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000195483",
            "identifier": "ANTHEM BCBS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.