Organization Active NPI

Affordable Dentures, Erie, P.C.

  • Dentist
  • Erie, PA
National Provider Identifier
1093850174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030754L Issued in PA
Legal business name
AFFORDABLE DENTURES, ERIE, P.C.
Practice address
1101 Peninsula Dr Ste 210
Erie, PA 16505-4169
Phone
(814) 833-7540
NPI assigned
Feb 20, 2007
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
Dr. Sherif Keriakes, DDS
Title
Owner
Phone
(814) 833-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 030754L PA Primary

Addresses

Primary practice location

1101 Peninsula Dr Ste 210
Erie, PA 16505-4169

Mailing address

1101 Peninsula Dr Ste 210
Erie, PA 16505-4169
Phone (814) 833-7540

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures - Erie II PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093850174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR STE 210",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054169",
            "telephone_number": "814-833-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR STE 210",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054169",
            "telephone_number": "814-833-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES, ERIE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERIAKES",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-833-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "030754L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

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.