Active NPI
Stuart Alan Ferguson, DDS
- Endodontics
- New Albany, IN
National Provider Identifier
1366525206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12007601A
- Practice address
- 1813 State St
Suite 200
New Albany, IN 47150-4917 - Phone
- (812) 945-3099
- Fax
- (812) 945-3099
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12007601A | IN | Primary |
Addresses
Primary practice location
1813 State St
Suite 200
New Albany, IN 47150-4917
Mailing address
1813 State St
Suite 200
New Albany, IN 47150-4917
Phone (812) 945-3099
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12007601A | IN | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366525206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 STATE ST",
"address_2": "SUITE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504917",
"telephone_number": "812-945-3099",
"fax_number": "812-945-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 STATE ST",
"address_2": "SUITE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504917",
"telephone_number": "812-945-3099",
"fax_number": "812-945-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "STUART",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IN",
"license": "12007601A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- 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.