Active NPI
Joseph Erickson DDS LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lagrange, GA
National Provider Identifier
1154231702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
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.