Individual provider Active NPI

Cigdem ER, D.D.S.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1356739221
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30472 Issued in TX
Practice address
2520 K Ave Ste 180
Plano, TX 75074-5378
Phone
(972) 423-1234
Fax
(972) 424-6543
NPI assigned
Dec 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021817 MI
General Practice Dentistry 1223G0001X 30472 TX Primary

Addresses

Primary practice location

2520 K Ave Ste 180
Plano, TX 75074-5378

Mailing address

2520 K Ave Ste 180
Plano, TX 75074-5378
Phone (972) 423-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412002891 TX Order and Referring Only - DentistPractitioner - Dentist 9234492851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021817MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1356739221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745378",
            "telephone_number": "972-423-1234",
            "fax_number": "972-424-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745378",
            "telephone_number": "972-423-1234",
            "fax_number": "972-424-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ER",
        "first_name": "CIGDEM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021817",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.