Andrew V Erickson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

357970 Issued in UT

Practice address

7611 Jordan Landing Blvd Ste 201
West Jordan, UT 84084-5613

Phone

(801) 280-7001

NPI assigned

May 21, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• UT PPO D-SNP

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.

• Jordan Landing Dental Care, PC

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1487963278
  NPD (past) Authorized official
• Tooth Sleuth Industries PLLC Dba Jordan Landing Dental Care

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1285410779
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053520643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845613",
            "telephone_number": "801-280-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845613",
            "telephone_number": "801-280-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ANDREW",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "357970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epidemic Therapy Services
• Scott F Epstein, D.O.
• John Arion Erekson III, PHARMD
• Madison Erekson
• Austin Erichsen
• Yesenia Escobar, BSW
• Daniel Banta Ethington, LMT
• Andie Evans
• April Evans, PHARMD
• Lauren Evans, RN

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.