NPIMap

Organization Active NPI

Ferguson Kutansky, PLLC

  • General Practice Dentistry
  • Fallon, NV
National Provider Identifier
1982979613
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4641 Issued in NV
Legal business name
FERGUSON KUTANSKY, PLLC
Practice address
56 Commercial Way
Fallon, NV 89406-2600
Phone
(775) 423-9990
Fax
(775) 423-9992
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Jason E Ferguson, DDS
Title
Owner
Phone
(775) 426-8293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4641 NV Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5064 NV

Addresses

Primary practice location

56 Commercial Way
Fallon, NV 89406-2600

Mailing address

56 Commercial Way
Fallon, NV 89406-2600
Phone (775) 423-9990

Other identifiers 2

IdentifierTypeStateIssuer
1528113594OtherNVINDIVIDUAL NATIONAL PROVIDER #
1174678163OtherNVINDIVIDUAL NATIONAL PROVIDER #

Other names 1

  • Nevada Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

56 Commercial Way
Fallon, NV 89406
Phone (775) 423-9990

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1982979613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 COMMERCIAL WAY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062600",
            "telephone_number": "775-423-9990",
            "fax_number": "775-423-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 COMMERCIAL WAY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062600",
            "telephone_number": "775-423-9990",
            "fax_number": "775-423-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON KUTANSKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-426-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4641",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER #",
            "identifier": "1528113594",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER #",
            "identifier": "1174678163",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.