Active NPI
Carl Frederick Ern, DDS
- General Practice Dentistry
- Brewster, NY
National Provider Identifier
1629294111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035269
- Practice address
- 2435 Route 6
Middlebranch Offices
Brewster, NY 10509-2537 - Phone
- (845) 279-3720
- Fax
- (845) 279-8144
- NPI assigned
- Apr 17, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 035269 | NY | |
| Customized Equipment (DME) | 332BC3200X | |||
| General Practice Dentistry | 1223G0001X | 035269 | NY | Primary |
Addresses
Primary practice location
2435 Route 6
Middlebranch Offices
Brewster, NY 10509-2537
Mailing address
2435 Route 6
Middlebranch Offices
Brewster, NY 10509-2537
Phone (845) 279-3720
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035269 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Sleep LLC | 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.
-
- Dentist
- Brewster, NY
- NPI 1578043147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1629294111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 ROUTE 6",
"address_2": "MIDDLEBRANCH OFFICES",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092537",
"telephone_number": "845-279-3720",
"fax_number": "845-279-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 ROUTE 6",
"address_2": "MIDDLEBRANCH OFFICES",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092537",
"telephone_number": "845-279-3720",
"fax_number": "845-279-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERN",
"first_name": "CARL",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "035269",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.