Brian Kanji Ferguson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60862722 Issued in WA

Practice address

11065 Pacific Crest PL NW Ste B105
Silverdale, WA 98383-6607

Phone

(360) 261-6154

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Dental Corporation

  dba Silverdale Smiles Dentistry

  • General Practice Dentistry
  • Silverdale, WA
  • NPI 1295108694
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1912485061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 OLYMPUS WAY APT P101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328796",
            "telephone_number": "562-676-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 PACIFIC CREST PL NW STE B105",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836607",
            "telephone_number": "360-261-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BRIAN",
        "middle_name": "KANJI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60862722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Diane Farner
• Micheal C Farrar, R PH
• Farrell James DC (ABC Chiropractic)
• Tiffany Fasano, PA-C
• Sheldon B Feldman, P.A.
• Joshua Tyler Jesus Fernandez, LMP
• Paige Jacqueline Fernandez, LMT
• Ashley Fetherbay
• Victoria Fields-Vocelka, PA-C
• Alexandra Marie Finchum

• Dentist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.