Organization Active NPI

Erickson & Gill, P.a.

  • General Practice Dentistry
  • Wellington, KS
National Provider Identifier
1083661979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERICKSON & GILL, P.A.
Practice address
122 E Lincoln Ave
Wellington, KS 67152-3045
Phone
(620) 326-5751
Fax
(620) 326-7915
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roxi Hutsler
Title
Office Manager
Phone
(620) 326-5751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

122 E Lincoln Ave
Wellington, KS 67152-3045

Mailing address

122 E Lincoln Ave
Wellington, KS 67152-3045
Phone (620) 326-5751

Other identifiers 2

IdentifierTypeStateIssuer
4087559201MedicaidKS
110776OtherKSBC/BS OF KS

National Provider Directory

National Provider Directory
Tax ID family
Erickson Gill PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

122 E Lincoln Ave
Wellington, KS 67152
Phone (620) 326-5751

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083661979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E LINCOLN AVE",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671523045",
            "telephone_number": "620-326-5751",
            "fax_number": "620-326-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E LINCOLN AVE",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671523045",
            "telephone_number": "620-326-5751",
            "fax_number": "620-326-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON & GILL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTSLER",
        "authorized_official_first_name": "ROXI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-326-5751"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4087559201",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS",
            "identifier": "110776",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.