Kerry Alberts, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-022816 Issued in OH

Practice address

334 Main St
Bridgeport, OH 43912-1346

Phone

(740) 635-2567

Fax

(740) 635-1976

NPI assigned

Jul 30, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles K. Dematte DDS Inc

  • General Practice Dentistry
  • Bridgeport, OH
  • NPI 1801050968
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1992961957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121346",
            "telephone_number": "740-635-2567",
            "fax_number": "740-635-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121346",
            "telephone_number": "740-635-2567",
            "fax_number": "740-635-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Home Health, Inc.
• Amy Snedeker
• Hannah Bachie, LMT
• Olivia Becker
• Sierra Dawn Betts, BSW
• Donna Sue Blaney, NON-AGENCY PROVIDER

• Dentist in Bridgeport, OH
• Providers in Bridgeport, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.