Organization Active NPI

Grogans Mill Dental, PC

  • General Practice Dentistry
  • The Woodlands, TX
National Provider Identifier
1629234018
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23015 Issued in TX
Legal business name
GROGANS MILL DENTAL, PC
Practice address
25210 Grogans Mill Rd
Ste a
The Woodlands, TX 77380-2378
Phone
(281) 298-5225
Fax
(281) 298-5266
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Ken L Ferguson, DMD
Title
Dentist
Phone
(281) 298-5225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4842 AL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 23015 TX Primary

Addresses

Primary practice location

25210 Grogans Mill Rd
Ste a
The Woodlands, TX 77380-2378

Mailing address

19 Ivory Moon PL
The Woodlands, TX 77381-6441
Phone (469) 713-7936

National Provider Directory

National Provider Directory

Locations

25210 Grogans Mill Rd
Ste A
The Woodlands, TX 77380
Phone (281) 298-5225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1629234018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IVORY MOON PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816441",
            "telephone_number": "469-713-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25210 GROGANS MILL RD",
            "address_2": "STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802378",
            "telephone_number": "281-298-5225",
            "fax_number": "281-298-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROGANS MILL DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-298-5225",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4842",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.