Organization Active NPI

Ferguson 'Life' Chiropractic Centers, LLC

  • Chiropractor
  • Whippany, NJ
National Provider Identifier
1497177653
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC000674100 Issued in NJ
Legal business name
FERGUSON 'LIFE' CHIROPRACTIC CENTERS, LLC
Practice address
760 Route 10 W
Suite 205
Whippany, NJ 07981-1159
Phone
(973) 210-3838
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Derek Douglas Ferguson, D.C.
Title
Owner
Phone
(973) 210-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC000674100 NJ Primary

Addresses

Primary practice location

760 Route 10 W
Suite 205
Whippany, NJ 07981-1159

Mailing address

760 Route 10 W
Suite 205
Whippany, NJ 07981-1159
Phone (973) 210-3838

National Provider Directory

National Provider Directory

Locations

760 State Route 10
Ste 205
Whippany, NJ 07981
Phone (973) 210-3838

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1497177653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 ROUTE 10 W",
            "address_2": "SUITE 205",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811159",
            "telephone_number": "973-210-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 ROUTE 10 W",
            "address_2": "SUITE 205",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811159",
            "telephone_number": "973-210-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON 'LIFE' CHIROPRACTIC CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-210-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC000674100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.