Individual provider Active NPI

Ferda Demirtas

  • Dental Hygienist
  • Red Bank, NJ
National Provider Identifier
1356840672
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
22HI01124600 Issued in NJ
Practice address
240 Half Mile Rd Ste 1
Red Bank, NJ 07701-5684
Phone
(732) 747-2888
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 22HI01124600 NJ Primary

Addresses

Primary practice location

240 Half Mile Rd Ste 1
Red Bank, NJ 07701-5684

Mailing address

130 Laurelwood Rd
Brick, NJ 08724-3648
Phone (732) 678-8952

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
22HI01124600NJMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Perth Amboy Anesthesiology PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1356840672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAURELWOOD RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243648",
            "telephone_number": "732-678-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HALF MILE RD STE 1",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015684",
            "telephone_number": "732-747-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIRTAS",
        "first_name": "FERDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI01124600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.