Active NPI
Robin L Ferguson, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1730570458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021794
- Practice address
- 820 E 87TH St
Ste 201
Chicago, IL 60619-6253 - Phone
- (773) 488-9075
- Fax
- (888) 506-3129
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019021794 | IL | Primary |
Addresses
Primary practice location
820 E 87TH St
Ste 201
Chicago, IL 60619-6253
Mailing address
820 E 87TH St
Ste 201
Chicago, IL 60619-6253
Phone (773) 488-9075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679737951 | Other | IL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201002684 | IL | Order and Referring Only - Dentist | 9638473309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin L. Ferguson DDS PC | General Practice | Current | Accepting new patients |
Locations
820 E 87th St
Ste 201
Chicago, IL 60619
Phone (773) 488-3738
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.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1679737951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1730570458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E 87TH ST",
"address_2": "STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196253",
"telephone_number": "773-488-9075",
"fax_number": "888-506-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E 87TH ST",
"address_2": "STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196253",
"telephone_number": "773-488-9075",
"fax_number": "888-506-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ROBIN",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019021794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679737951",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.