Active NPI
Alexandra Elizabeth Ferguson, DDS
- Dentist
- Niceville, FL
National Provider Identifier
1548955701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28264
- Practice address
- 136 Partin Dr N
Niceville, FL 32578-2054 - Phone
- (850) 605-0579
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28264 | FL | Primary |
Addresses
Primary practice location
136 Partin Dr N
Niceville, FL 32578-2054
Mailing address
5401 Tivoli Terrace Drive
Miramar Beach, FL 32550
Phone (256) 490-0587
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 |
|---|---|---|---|
| 28264 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1548955701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 TIVOLI TERRACE DRIVE",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "32550",
"telephone_number": "256-490-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 PARTIN DR N",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782054",
"telephone_number": "850-605-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ALEXANDRA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-08-01",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.