NPIMap

Organization Active NPI

Derek Thompson DMD Patrick Ferguson DDS

Doing business as Apple Valley Dental and Orthodontics

  • Dentist
  • Union Gap, WA
National Provider Identifier
1376764233
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00009229 Issued in WA
Legal business name
DEREK THOMPSON DMD PATRICK FERGUSON DDS
Doing business as
Apple Valley Dental and Orthodontics
Practice address
2100 S 14TH St
Union Gap, WA 98903-1252
Phone
(509) 457-6300
NPI assigned
May 1, 2007
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Cathy L Meadows
Title
Finance Manager
Phone
(509) 457-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00009229 WA Primary

Addresses

Primary practice location

2100 S 14TH St
Union Gap, WA 98903-1252

Mailing address

2100 S 14TH St
Union Gap, WA 98903-1252
Phone (509) 457-6300

Other names 1

  • Apple Valley Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Derek Thompson DMD Patrick Ferguson DDS PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1376764233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S 14TH ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031252",
            "telephone_number": "509-457-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S 14TH ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031252",
            "telephone_number": "509-457-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK THOMPSON DMD PATRICK FERGUSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "509-457-6300"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Valley Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Gap, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.