Fethiye Sevde Ersan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

053718 Issued in NY

Practice address

975 Ridge Rd
Webster, NY 14580-2972

Phone

(585) 787-9930

Fax

(585) 787-1433

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1508046392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802972",
            "telephone_number": "585-787-9930",
            "fax_number": "585-787-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802972",
            "telephone_number": "585-787-9930",
            "fax_number": "585-787-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSAN",
        "first_name": "FETHIYE",
        "middle_name": "SEVDE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Patrick Elliott, MS, NCC, CCTP
• Latoya Elliott
• Empire Dental of Webster PLLC
• Empire Vision Center Inc
• Yagmur Engin
• Joseph Gabriel Escobar, RN
• Kristen Estelle, R.N.
• Chris H Evans, M.S., CCC-A
• Anna Ellana Edith Evevsky
• Exceptional Transportation LLC

• Dentist in Webster, NY
• Providers in Webster, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.