NPIMap

Organization Active NPI

Wisener, Cooper & Fergus DDS PLLC

Doing business as Wisener, Cooper & Fergus DDS

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1841875507
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WISENER, COOPER & FERGUS DDS PLLC
Doing business as
Wisener, Cooper & Fergus DDS
Practice address
1003 S Horsebarn Rd
Rogers, AR 72758-8184
Phone
(479) 636-7100
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1003 S Horsebarn Rd
Rogers, AR 72758-8184

Mailing address

1003 S Horsebarn Rd
Rogers, AR 72758-8184

Other names 1

  • Wisener, Cooper & Fergus DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1003 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 621-6766

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1841875507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184",
            "telephone_number": "479-636-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISENER, COOPER & FERGUS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisener, Cooper & Fergus DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.