Individual provider Active NPI

Brian David Ehrman, D.D.S

  • General Practice Dentistry
  • Monroe, LA
National Provider Identifier
1790993582
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7485 Issued in LA
Practice address
2914 Betin Ave
Monroe, LA 71201-7258
Phone
(318) 323-4450
Fax
(318) 323-4430
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18754 OH
General Practice Dentistry 1223G0001X 7485 LA Primary

Addresses

Primary practice location

2914 Betin Ave
Monroe, LA 71201-7258

Mailing address

102 Monteleon Cir
West Monroe, LA 71291-4737
Phone (740) 386-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 15, 2015 through Jun 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7485LAMDProfessional Counselor
18754OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Services Center Past Accepting new patients
Primary Health Services Center PastSince Aug 25, 2024 Accepting new patients
Primary Health Services Center PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1790993582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MONTELEON CIR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914737",
            "telephone_number": "740-386-5843",
            "fax_number": "740-387-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017258",
            "telephone_number": "318-323-4450",
            "fax_number": "318-323-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRMAN",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18754",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.