Active NPI
Robin L. Ferguson DDS PC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1679737951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019021794
- Legal business name
- ROBIN L. FERGUSON DDS PC
- Practice address
- 820 E 87TH St
Suite 201
Chicago, IL 60619-6253 - Phone
- (773) 488-9075
- Fax
- (773) 874-6575
- NPI assigned
- Jul 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teresa Dugan
- Title
- Office Manager
- Phone
- (773) 488-9075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019021794 | IL | Primary |
Addresses
Primary practice location
820 E 87TH St
Suite 201
Chicago, IL 60619-6253
Mailing address
820 E 87TH St
Suite 201
Chicago, IL 60619-6253
Phone (773) 488-9075
Other names 1
- Dental Dream Team Sleep Solutions
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230724003115 | IL | DME Supplier - Oral Surgery - Dentist | 2961862818 | Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1216080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1679737951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E 87TH ST",
"address_2": "SUITE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196253",
"telephone_number": "773-488-9075",
"fax_number": "773-874-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E 87TH ST",
"address_2": "SUITE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196253",
"telephone_number": "773-488-9075",
"fax_number": "773-874-6575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBIN L. FERGUSON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-15",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "DUGAN",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "773-488-9075",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019021794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Dream Team Sleep Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.