Active NPI
Will S Fernyhough, DDS, MSD
- Specialist
- Bellevue, WA
National Provider Identifier
1891031548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00005930
- Practice address
- 10050 NE 10TH St Ste C
Bellevue, WA 98004-4121 - Phone
- (425) 455-2020
- Fax
- (425) 455-0310
- NPI assigned
- Dec 28, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 00005930 | WA | Primary |
Addresses
Primary practice location
10050 NE 10TH St Ste C
Bellevue, WA 98004-4121
Mailing address
10050 NE 10TH St Ste C
Bellevue, WA 98004-4121
Phone (425) 455-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005930 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Periodontics PPLC | 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.
-
- Periodontics
- Bellevue, WA
- NPI 1508102120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1891031548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 NE 10TH ST STE C",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044121",
"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 STE C",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044121",
"telephone_number": "425-455-2020",
"fax_number": "425-455-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNYHOUGH",
"first_name": "WILL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-28",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "00005930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.