David E Erickson DDS Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

58320 Issued in CA

Legal business name

DAVID E ERICKSON DDS DENTAL CORPORATION

Practice address

4860 Cherry Ave Ste E
San Jose, CA 95118-3716

Phone

(408) 265-8003

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David E Erickson, DDSNPI 1972641082

Title

President

Phone

(408) 265-4130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David E Erickson, DDS

  • Dentist
  • San Jose, CA
  • NPI 1972641082
  NPD (past) Authorized official

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1144585167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-265-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-265-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E ERICKSON DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-265-4130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.