Individual provider Active NPI

Erin Ann McTernan, D.M.D

  • General Practice Dentistry
  • Waterloo, NY
National Provider Identifier
1225294788
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054009 Issued in NY
Practice address
44 W Main St
Waterloo, NY 13165-1329
Phone
(315) 539-2231
Fax
(315) 539-8764
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054009 NY Primary

Addresses

Primary practice location

44 W Main St
Waterloo, NY 13165-1329

Mailing address

233 Washington St
Geneva, NY 14456-2707
Phone (646) 267-6034

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
054009NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1225294788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562707",
            "telephone_number": "646-267-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W MAIN ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651329",
            "telephone_number": "315-539-2231",
            "fax_number": "315-539-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTERNAN",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.