Active NPI
Erin Ann McTernan, D.M.D
- General Practice Dentistry
- Waterloo, NY
National Provider Identifier
1225294788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054009
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 054009 | NY | MD | General 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.