DR. KENNETH LEE FERGUSON (NPI# 1053488429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053488429 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE FERGUSON |
| Credential | DMD |
| Practice Address |
32030 Decker Prairie Rd Pinehurst TX 77362-4171 |
| Mailing Address |
135 Lakeside Dr Montgomery TX 77356-9031 |
| Practice Telephone | 2813563351 |
| Mailing Telephone | 4697139436 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23015 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
4842 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756560 | Kenneth Ferguson | Counselor | 932 W State Highway 152, Mustang, OK 73064-2301 | 2018-07-13 |
| 1912996794 | Kenneth H Ferguson | Urology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2005-10-14 |
| 1194845396 | Kenneth Alan Ferguson | Counselor | 219 Broad St, Danielson, CT 06239-3004 | 2007-03-30 |
| Street Address |
32030 DECKER PRAIRIE RD |
| City | PINEHURST |
| State | TX |
| Zip Code | 77362-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503939 | Stephanie Michelle Poche | Non-emergency Medical Transport (VAN) | 11823 Belle Ct., Pinehurst, TX 77362 | 2019-08-12 |
| 1568823110 | Denoble Enterprises, Inc | In Home Supportive Care | 11934 Lois Lane Dr., Pinehurst, TX 77362 | 2016-03-10 |
| 1033498233 | Maulik Nanavati | Dentist | 32030 Suite 1 Decker Prairie Road, Pinehurst, TX 77362 | 2011-08-05 |
| 1992945869 | Amanda Jane Brown | Optometrist | 32360 Sh 249, Ste 200, Pinehurst, TX 77362 | 2009-03-04 |
| 1710031141 | Today's Vision-tomball, P.a. | Specialist | 32350 S.h. 249, Suite 200, Pinehurst, TX 77362 | 2007-01-23 |
| 1285286609 | Jerod William Mckeehan | Nurse Practitioner | 826 Evergreen Meadows Ln, Pinehurst, TX 77362-1522 | 2019-07-16 |
| 1952884744 | Catherine Mwaniki Watts | Licensed Vocational Nurse | 12078 Fairquarter Ln, Pinehurst, TX 77362-1525 | 2018-09-08 |
| 1598035578 | Helping Hand Occupational Therapy, Pllc | Home Health | 14602 Fishers Cv, Pinehurst, TX 77362-1926 | 2012-01-06 |
| 1952850539 | Erika O'neal | Nurse Practitioner | 1011 Ginger Glade Ln, Pinehurst, TX 77362-2009 | 2016-09-24 |
| 1669785747 | Camille Shea | Psychologist | 1311 Mere Dr, Pinehurst, TX 77362-2544 | 2010-07-19 |
| Find all providers in zip 77362 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033498233 | Maulik Nanavati | Dentist | 32030 Suite 1 Decker Prairie Road, Pinehurst, TX 77362 | 2011-08-05 |
| 1659563138 | James Douglas Medwick | Dentist | 970 Diamond Head Dr S, Pinehurst, NC 28374-9774 | 2007-08-17 |
| 1528259769 | Herbert T. Hudson, Dmd,pa | Dentist | 295 Olmsted Blvd Ste 7, Pinehurst, NC 28374-9131 | 2007-08-05 |
| 1710196902 | Dr. Susan Buckland Dds | Dentist | 3 Regional Cir., Suite A, Pinehurst, NC 28374-0003 | 2007-05-22 |
| 1457567307 | Fred Taylor Ridge Jr. | Dentist | 115 Turnberry Way, Pinehurst, NC 28374 | 2007-05-15 |
| 1598981854 | Fred T. Ridge, Dds, Pa | Dentist | 115 Turnbery Way, Pinehurst, NC 28374 | 2007-04-17 |
| 1487772646 | Bonnie G. Davis | Dentist | 350 Doral Dr, Pinehurst, NC 28374-8686 | 2007-03-27 |
| 1558486779 | George Robert Horton IIi | Dentist | 3 Regional Circle Ste. C, Pinehurst, NC 28374 | 2007-03-20 |
| 1053436204 | George R. Horton | Dentist | 3 Regional Circle Suite C, Pinehurst, NC 28374 | 2007-03-20 |
| 1457419277 | Susan L Buckland | Dentist | #3 Regional Circle, Suite A, Pinehurst, NC 28374 | 2006-12-05 |
| Find all providers in PINEHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.