Individual provider Active NPI

Molly Marie Ferg

  • Dental Hygienist
  • Wisner, NE
National Provider Identifier
1346897964
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2235 Issued in NE
Practice address
2104 21St Cir
Wisner, NE 68791-2044
Phone
(402) 529-2233
Fax
(402) 529-2211
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2235 NE Primary

Addresses

Primary practice location

2104 21St Cir
Wisner, NE 68791-2044

Mailing address

2104 21St Cir
Wisner, NE 68791-2044
Phone (402) 529-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2235NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elkhorn Logan Valley Public Health Department PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1346897964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 21ST CIR",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687912044",
            "telephone_number": "402-529-2233",
            "fax_number": "402-529-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 21ST CIR",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687912044",
            "telephone_number": "402-529-2233",
            "fax_number": "402-529-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERG",
        "first_name": "MOLLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisner, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.