Active NPI
Zachary Tyler Ferguson, DMD
- Dentist
- Paris, IL
National Provider Identifier
1982262283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.032071
- Practice address
- 522 E Jasper St
Paris, IL 61944-2437 - Phone
- (217) 466-3090
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.032071 | IL | Primary |
Addresses
Primary practice location
522 E Jasper St
Paris, IL 61944-2437
Mailing address
950 4TH St Apt 14
Charleston, IL 61920-2851
Phone (815) 953-2859
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 |
|---|---|---|---|
| 019.032071 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1982262283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 4TH ST APT 14",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202851",
"telephone_number": "815-953-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E JASPER ST",
"city": "PARIS",
"state": "IL",
"postal_code": "619442437",
"telephone_number": "217-466-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "ZACHARY",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.032071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.