Individual provider Active NPI

Parker J Ferguson, DDS

  • Dentist
  • Whitehall, OH
National Provider Identifier
1558053033
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027202 Issued in OH
Practice address
4121 E Main St
Whitehall, OH 43213-2951
Phone
(614) 231-8000
Fax
(614) 349-3347
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027202 OH Primary

Addresses

Primary practice location

4121 E Main St
Whitehall, OH 43213-2951

Mailing address

2925 Angelo Joseph LN Apt 106
Columbus, OH 43204-3998
Phone (801) 726-1991

Other practice location 1

4998 W Broad St Ste 201
Columbus, OH 43228-1647
Phone (614) 878-6417

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

LicenseStateTypeSpecialty
30.027202OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David H. Verzella, D.D.S. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1558053033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 ANGELO JOSEPH LN APT 106",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043998",
            "telephone_number": "801-726-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132951",
            "telephone_number": "614-231-8000",
            "fax_number": "614-349-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4998 W Broad St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281647",
            "country_code": "US",
            "telephone_number": "614-878-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PARKER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.