Erin E. Pender, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

06012 Issued in NY

Practice address

107 Institute St
Jamestown, NY 14701-6628

Phone

(716) 484-4334

Fax

(716) 484-4335

NPI assigned

Aug 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• County of Chautauqua - a Mun Corp

  • Ambulance
  • Mayville, NY
  • NPI 1992244404
  NPD (past)

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1780138222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 ROUTE 394",
            "city": "ASHVILLE",
            "state": "NY",
            "postal_code": "147109749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334",
            "fax_number": "716-484-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Memorial Drive",
            "address_purpose": "LOCATION",
            "city": "Mayville",
            "state": "NY",
            "postal_code": "14757",
            "country_code": "US",
            "telephone_number": "716-753-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDER",
        "first_name": "ERIN",
        "middle_name": "E.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.24864",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022056",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "06012",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "06012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel James Pattison, OTA/L
• Carl T Pearson, DC
• Nicholas Lee Pearson, LAT, ATC
• Rachel Peer, RPH
• Mary Elizabeth Pence, RN
• Anthony Peppy, DDS
• Samuel Peppy, DDS
• Samuel Jack Peppy Sr., DDS
• Tisha Renee Percell, LPN
• Julia L Perkins, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.