Individual provider Active NPI

Erica Unverferth, DDS

  • Dentist
  • Van Wert, OH
National Provider Identifier
1285013516
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024488 Issued in OH
Practice address
707 Fox Rd
Suite 200
Van Wert, OH 45891-2451
Phone
(419) 238-4385
Fax
(419) 238-9228
NPI assigned
May 19, 2015
Last updated
May 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024488 OH Primary

Addresses

Primary practice location

707 Fox Rd
Suite 200
Van Wert, OH 45891-2451

Mailing address

707 Fox Rd
Suite 200
Van Wert, OH 45891-2451
Phone (419) 238-4385

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
30.024488OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unverferth Family Dentistry, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1285013516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 FOX RD",
            "address_2": "SUITE 200",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912451",
            "telephone_number": "419-238-4385",
            "fax_number": "419-238-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 FOX RD",
            "address_2": "SUITE 200",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912451",
            "telephone_number": "419-238-4385",
            "fax_number": "419-238-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNVERFERTH",
        "first_name": "ERICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.