Robert V. Ferguson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 08866 Issued in FL

Practice address

3726 N Goldenrod Rd
Suite 3
Winter Park, FL 32792-8801

Phone

(407) 657-1234

Fax

(407) 657-4914

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396968715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 N GOLDENROD RD",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928801",
            "telephone_number": "407-657-1234",
            "fax_number": "407-657-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 N GOLDENROD RD",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928801",
            "telephone_number": "407-657-1234",
            "fax_number": "407-657-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ROBERT",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 08866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam S. Fenichel, M.D.
• Fenn Systems Inc.
• Martine Kay Fenstermacher, AU.D., CCC-A
• Rebecca Fequiere Dorlis
• Sibile Fequiere
• Fern Creek Counseling Center (fern creek counseling)
• Jenna M Fernandes
• Yris S Fernandez Merette
• Camilo D Fernandez-Salvador, M.D
• Lorenzo Antonio Fernandez, PTA

• Dentist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dentist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.