NPIMap

Organization Active NPI

Derek Thompson DMD Patrick Ferguson DDS PLLC

  • Dentist
  • Sunnyside, WA
National Provider Identifier
1689966616
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9229 Issued in WA
Legal business name
DEREK THOMPSON DMD PATRICK FERGUSON DDS PLLC
Practice address
3217 Picard PL
Sunnyside, WA 98944-8400
Phone
(509) 823-4480
Fax
(509) 823-4488
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Derek Thompson, DMD
Title
Owner
Phone
(509) 823-4480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9229 WA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 11197 WA

Addresses

Primary practice location

3217 Picard PL
Sunnyside, WA 98944-8400

Mailing address

4309 W Nob Hill Blvd
Yakima, WA 98908-3971
Phone (509) 823-4480

Other names 1

  • Apple Valley Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Derek Thompson DMD Patrick Ferguson DDS PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1689966616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083971",
            "telephone_number": "509-823-4480",
            "fax_number": "509-823-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 PICARD PL",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448400",
            "telephone_number": "509-823-4480",
            "fax_number": "509-823-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK THOMPSON DMD PATRICK FERGUSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-823-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9229",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "11197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Valley Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.