Active NPI
David Erdman, DDS
- Periodontics
- Fort Lauderdale, FL
National Provider Identifier
1346568805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0010688
- Practice address
- 1130 Bayview Dr
Fort Lauderdale, FL 33304-2505 - Phone
- (954) 564-1605
- NPI assigned
- May 8, 2010
- Last updated
- May 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0010688 | FL | Primary |
Addresses
Primary practice location
1130 Bayview Dr
Fort Lauderdale, FL 33304-2505
Mailing address
1130 Bayview Dr
Fort Lauderdale, FL 33304-2505
Phone (954) 564-1605
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 |
|---|---|---|---|
| 0010688 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273276800000",
"number": "1346568805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-564-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-564-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-08",
"last_updated": "2010-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "0010688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.