Richard E Ferguson, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D-1669-PE Issued in ID

Practice address

813 Stilson Rd
Suite C
Boise, ID 83703-5119

Phone

(208) 344-0908

Fax

(208) 338-0306

NPI assigned

Nov 16, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 19, 2017 through Jul 19, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Richard E. Ferguson D.D.S.,M.S. PA

  • Periodontics
  • Boise, ID
  • NPI 1588827125
  NPD (past) Authorized official
• Treasure Valley Periodontics

  • Periodontics
  • Boise, ID
  • NPI 1972968998
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710050943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 STILSON RD",
            "address_2": "SUITE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-344-0908",
            "fax_number": "208-338-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 STILSON RD",
            "address_2": "SUITE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-344-0908",
            "fax_number": "208-338-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ID",
            "license": "D-1669-PE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Fenwick, DDS
• Ferch Family Chiropractic, PA
• Gregory E Ferch, D.C.
• Mardene Ferguson, LCSW
• Michelle Ferguson, LMSW
• Kathryn Feris
• Emma Lynn Ferko
• Lisa M Fernandez, P.T.
• Zulaen R Fernandez, MA, LPC
• Cody Leonard Fernow

• Periodontics in Boise, ID
• Providers in Boise, ID by specialty
• Periodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.