Organization Active NPI

Joseph Erickson DDS LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lagrange, GA
National Provider Identifier
1154231702
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOSEPH ERICKSON DDS LLC
Doing business as
RAD Orthodontics
Practice address
104 Old Mill Rd
Lagrange, GA 30241-6704
Phone
(706) 884-0049
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Joseph Erickson, DDS
Title
Owner/Orthodontist
Phone
(208) 550-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

104 Old Mill Rd
Lagrange, GA 30241-6704

Mailing address

104 Old Mill Rd
Lagrange, GA 30241-6704

Other practice location 1

618 N Church St
Thomaston, GA 30286-3612
Phone (706) 647-4633

Other practice location 2

125 Eagles Pointe Pkwy Ste 220
Stockbridge, GA 30281-6379
Phone (770) 474-7177

Other names 1

  • RAD Orthodontics Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1154231702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD MILL RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD MILL RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302416704",
            "telephone_number": "706-884-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 N Church St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302863612",
            "country_code": "US",
            "telephone_number": "706-647-4633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Eagles Pointe Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816379",
            "country_code": "US",
            "telephone_number": "770-474-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH ERICKSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "208-550-3129",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAD Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.