Active NPI
John Michael Ferguson, D.C.
- Chiropractor
- Clifton Park, NY
National Provider Identifier
1386832889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0113911
- Practice address
- 54 Crossing Blvd
Suite H
Clifton Park, NY 12065-4100 - Phone
- (518) 383-5595
- Fax
- (518) 383-5594
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0113911 | NY | Primary |
Addresses
Primary practice location
54 Crossing Blvd
Suite H
Clifton Park, NY 12065-4100
Mailing address
54 Crossing Blvd
Suite H
Clifton Park, NY 12065-4100
Phone (518) 383-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071217000620 | NY | Practitioner - Chiropractic | 4284724071 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
653 Plank Rd
Clifton Park, NY 12065-3027
Phone (518) 383-5595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0113911 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferguson Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Lift Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
653 Plank Rd
Clifton Park, NY 12065
Phone (518) 331-6294
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.
-
- Chiropractor
- Clifton Park, NY
- NPI 1871967166
-
- Chiropractor
- Clifton Park, NY
- NPI 1245164979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1386832889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 CROSSING BLVD",
"address_2": "SUITE H",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120654100",
"telephone_number": "518-383-5595",
"fax_number": "518-383-5594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CROSSING BLVD",
"address_2": "SUITE H",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120654100",
"telephone_number": "518-383-5595",
"fax_number": "518-383-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0113911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.