NPIMap

Organization Active NPI

Scott J. Ferguson DDS & Associates PLLC

  • General Practice Dentistry
  • Kimball, MI
National Provider Identifier
1730567371
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015182 Issued in MI
Legal business name
SCOTT J. FERGUSON DDS & ASSOCIATES PLLC
Practice address
2837 Stable Drive
Ste a
Kimball, MI 48074
Phone
(810) 985-3301
Fax
(855) 747-1702
NPI assigned
May 15, 2015
Last updated
May 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Scott J. Ferguson, DDSNPI 1316085764
Title
President/Owner
Phone
(810) 985-3301

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 015182
Dentist 122300000X 2901021197 MI
Dentist 122300000X 2901018706 MI
General Practice Dentistry 1223G0001X 2901015182 MI Primary

Addresses

Primary practice location

2837 Stable Drive
Ste a
Kimball, MI 48074

Mailing address

2837 Stable Drive
Ste a
Kimball, MI 48074
Phone (810) 985-3301

National Provider Directory

National Provider Directory

Locations

2837 Stable Dr
Ste A
Kimball, MI 48074
Phone (810) 985-3301

Practitioners & affiliated clinicians

Practitioners 5

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": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1730567371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 STABLE DRIVE",
            "address_2": "STE A",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "48074",
            "telephone_number": "810-985-3301",
            "fax_number": "855-747-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 STABLE DRIVE",
            "address_2": "STE A",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "48074",
            "telephone_number": "810-985-3301",
            "fax_number": "855-747-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J. FERGUSON DDS & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-985-3301",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": "015182",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021197",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018706",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.