Individual provider Active NPI

Alfred Jerome Terp, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Point, NY
National Provider Identifier
1093790495
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS031480L Issued in PA
Practice address
United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942
Phone
(845) 938-8265
Fax
(845) 938-4302
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS031480L PA Primary

Addresses

Primary practice location

United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942

Mailing address

United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942
Phone (845) 938-8265

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

LicenseStateTypeSpecialty
DS031480LPAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1093790495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNITED STATES MILITARY ACADEMY",
            "address_2": "646 SWIFT ROAD, BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-8265",
            "fax_number": "845-938-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED STATES MILITARY ACADEMY",
            "address_2": "646 SWIFT ROAD, BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-8265",
            "fax_number": "845-938-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERP",
        "first_name": "ALFRED",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS031480L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.