Organization Active NPI

Will S Fernyhough DDS PS

  • Periodontics
  • Bellevue, WA
National Provider Identifier
1790900231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE00005930 Issued in WA
Legal business name
WILL S FERNYHOUGH DDS PS
Practice address
10050 NE 10TH St
Bellevue, WA 98008
Phone
(425) 455-2020
Fax
(425) 455-0310
NPI assigned
Apr 17, 2007
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. Will S Fernyhough, DDS MSD
Title
President
Phone
(425) 455-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DE00005930 WA Primary

Addresses

Primary practice location

10050 NE 10TH St
Bellevue, WA 98008

Mailing address

10050 NE 10TH St
Bellevue, WA 98008
Phone (425) 455-2020

Other names 1

  • Fernyhough Periodontics Premier Periodontics Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790900231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 NE 10TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "425-455-2020",
            "fax_number": "425-455-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 NE 10TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "425-455-2020",
            "fax_number": "425-455-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL S FERNYHOUGH DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNYHOUGH",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-455-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00005930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernyhough Periodontics Premier Periodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

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.