Kevin Ferguson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS030353L Issued in PA

Practice address

110 S 17TH St
Dental Dept.
Harrisburg, PA 17104-1123

Phone

(717) 231-5761

NPI assigned

Sep 8, 2005

Last updated

Apr 17, 2013By the provider in NPPES

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 PA

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1134458789
  Medicare reassignment NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1417812710
  NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • New Holland, PA
  • NPI 1942437991
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1659365492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 QUAIL HOLLOW RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368559",
            "telephone_number": "570-850-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "address_2": "DENTAL DEPT.",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-231-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030353L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Jean Felty
• Courtney Sara Fenicle
• Christopher Andrew Fenstermacher, RPH
• Nancy M Fenstermacher, PSYD
• Ramisa Ferdaus
• Carizma Fernandez, PTA
• George Michael Fernandez
• Hannah Grace Ferrante, PA-C
• John Ferrara, R.PH.
• Katarzyna Kauvlak Ferraro, M.D.

• Dentist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.