Individual provider Active NPI

Laura Christine Ferguson Foral, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1720215957
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6824 Issued in NE
Practice address
3811 N 167TH CT
Omaha, NE 68116-8067
Phone
(402) 991-6965
Fax
(402) 991-6985
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6824 NE Primary

Addresses

Primary practice location

3811 N 167TH CT
Omaha, NE 68116-8067

Mailing address

3811 N 167TH CT
Omaha, NE 68116-8067
Phone (402) 991-6965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111000359 NE Order and Referring Only - DentistPractitioner - Dentist 6204146863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whispering Ridge Family Dentistry, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1720215957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168067",
            "telephone_number": "402-991-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168067",
            "telephone_number": "402-991-6965",
            "fax_number": "402-991-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON FORAL",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.