Individual provider Active NPI

Joseph Michael Ferguson, D.C.

  • Chiropractor
  • Grove, OK
National Provider Identifier
1669601936
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3936 Issued in OK
Practice address
1107 E 13TH St., Suites a&B
Grove, OK 74344-7956
Phone
(918) 786-8834
Fax
(918) 786-6520
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3936 OK Primary

Addresses

Primary practice location

1107 E 13TH St., Suites a&B
Grove, OK 74344-7956

Mailing address

1107 E 13TH St., Suites a&B
Grove, OK 74344-7956
Phone (918) 786-8834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000495 OK Practitioner - Chiropractic 8224182340 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Grove, OK

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Health and Chiropractic, PLLCGroup PAC ID 1052594843, 4 clinicians

Practice addresses (Care Compare)

1107 E 13TH St
Suite Aandb
Grove, OK 74344-7956
Phone (918) 786-8834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3936OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Health and Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2011 Accepting new patients
Stout Chiropractic Clinic, P. a. Chiropractor Past Accepting new patients

Locations

1107 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-8834

1107 E 13th St
Grove, OK 74344
Phone (918) 786-8834

1107 E 13th St
Ste Ab
Grove, OK 74344
Phone (918) 786-8834

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1669601936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E 13TH ST., SUITES A&B",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447956",
            "telephone_number": "918-786-8834",
            "fax_number": "918-786-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 13TH ST., SUITES A&B",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447956",
            "telephone_number": "918-786-8834",
            "fax_number": "918-786-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.