Active NPI
Ernest Stephen Alder, DDS
- Public Health Dentistry
- Pompano Beach, FL
National Provider Identifier
1609910678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DN16119
- Practice address
- 205 NW 6TH Ave
Pompano Beach, FL 33060-5908 - Phone
- (954) 467-4700
- NPI assigned
- Feb 16, 2007
- Last updated
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN16119 | FL | |
| Dentist | 122300000X | D817 | AK | |
| Dentist | 122300000X | 4698 | NE | |
| Dentist | 122300000X | D8066 | OR | |
| Dentist | 122300000X | DE00009340 | WA | |
| Dentist | 122300000X | 40052 | CA | |
| Public Health Dentistry | 1223D0001X | DN16119 | FL | Primary |
Addresses
Primary practice location
205 NW 6TH Ave
Pompano Beach, FL 33060-5908
Mailing address
PO Box 542437
Greenacres, FL 33454-2437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075734900 | Medicaid | FL |
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 |
|---|---|---|---|
| D817 | AK | MD | Dentist |
| 40052 | CA | MD | Dentist |
| DN16119 | FL | MD | Dentist |
| D8066 | OR | MD | Dentist |
| DE00009340 | WA | MD | Dentist |
| 4698 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1609910678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542437",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334542437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NW 6TH AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330605908",
"telephone_number": "954-467-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDER",
"first_name": "ERNEST",
"middle_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN16119",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "D817",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "4698",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8066",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00009340",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40052",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN16119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075734900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.