NPIMap

Organization Active NPI

Wadsworth Family Dentistry, LLC

  • General Practice Dentistry
  • Wadsworth, OH
National Provider Identifier
1710102819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WADSWORTH FAMILY DENTISTRY, LLC
Practice address
1374 Reimer Rd
Wadsworth, OH 44281-8164
Phone
(330) 335-2525
Fax
(330) 336-1700
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd David Ferguson, DDSNPI 1154546257
Title
Owner Vice President
Phone
(330) 335-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1374 Reimer Rd
Wadsworth, OH 44281-8164

Mailing address

1374 Reimer Rd
Wadsworth, OH 44281-8164
Phone (330) 335-2525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710102819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 REIMER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818164",
            "telephone_number": "330-335-2525",
            "fax_number": "330-336-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 REIMER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818164",
            "telephone_number": "330-335-2525",
            "fax_number": "330-336-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER VICE PRESIDENT",
        "authorized_official_telephone_number": "330-335-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.