Individual provider Active NPI

Ona Erdt, DMD

  • Dentist
  • Saint Johns, MI
National Provider Identifier
1629511829
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022075 Issued in MI
Practice address
1014 N Clinton Ave
Saint Johns, MI 48879-1092
Phone
(734) 812-2832
NPI assigned
Nov 21, 2016
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022075 MI Primary

Addresses

Primary practice location

1014 N Clinton Ave
Saint Johns, MI 48879-1092

Mailing address

1014 N Clinton Ave
Saint Johns, MI 48879-1092
Phone (734) 812-2832

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
2901022075MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ona R Erdt, DMD, PLLC CurrentSince Jul 31, 2022 Accepting new patients
St Johns Smiles CurrentSince Jul 31, 2022 Accepting new patients

Locations

1014 N Clinton Ave
Saint Johns, MI 48879
Phone (734) 812-2832

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1629511829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N CLINTON AVE",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791092",
            "telephone_number": "734-812-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N CLINTON AVE",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791092",
            "telephone_number": "734-812-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDT",
        "first_name": "ONA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.