DR. KOBY FERGUSON D.D.S.
NPI 1770852022
Dentist - Oral and Maxillofacial Surgery in Portsmouth, VA

Q: What is Koby Ferguson's NPI number?

The NPI number for Koby Ferguson is 1770852022. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Q: What is Koby Ferguson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Koby Ferguson was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2011

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(785) 452-0731 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 21, 2023, Nov 13, 2020 (2 updates tracked since 2020).

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About Dr. Koby Ferguson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOBY FERGUSON D.D.S. (NPI 1770852022) is an individual oral and maxillofacial surgery provider in Portsmouth, Virginia, licensed in Virginia (0438000482) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1770852022

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KOBY FERGUSONCredential: D.D.S.

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111

Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (785) 452-0731

Phone(785) 452-0731

Sole ProprietorNo

Enumeration DateDecember 15, 2011

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1770852022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in VA · 0438000482✔ Licensed in KS · 60898

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 60898 (KS)

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA

Nurse Anesthetist, Certified Registered

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-3238

ERIC FRANCIS SULAVA

Emergency Medicine

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

MRS. TIFFNY KUPER RHH

Dental Hygienist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2711

DR. LAKEISHA GOODE PHARMD

Pharmacist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-7462

JASMINE WOOD MD

Surgery

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1895

NICHOLAS FANSELOW

General Practice

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

DR. DAVID JESSEN MD

Military Health Care Provider

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2518

MRS. WILLAR MAE BAUM L.C.S.W.

Social Worker (Clinical)

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koby Ferguson's NPI number?

The NPI number for Koby Ferguson is 1770852022. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Where is Koby Ferguson located?

Koby Ferguson practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (785) 452-0731.

What is Koby Ferguson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Koby Ferguson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Koby Ferguson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koby Ferguson was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.