Active NPI
Erica Ann Knarr, DMD
- Dentist
- Providence, RI
National Provider Identifier
1184118127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03449
- Practice address
- 335 Prairie Ave
Providence, RI 02905 - Phone
- (401) 444-0430
- Fax
- (401) 444-0489
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4652 | ME | |
| Dentist | 122300000X | DEN03449 | RI | Primary |
Addresses
Primary practice location
335 Prairie Ave
Providence, RI 02905
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other practice location 1
2 Great Falls Plz Ste 4A
Auburn, ME 04210-5969
Phone (207) 784-4222
Other names 1
- Ms. Erica Ann Boffi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4652 | ME | MD | Dentist |
| DEN03449 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Pediatric Dentistry LLC | Past | Accepting new patients | |
| Great Falls Dental Associates LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Auburn, ME
- NPI 1205532314
-
- Pediatric Dentistry
- South Portland, ME
- NPI 1073363677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1184118127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-444-0400",
"fax_number": "401-444-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-444-0430",
"fax_number": "401-444-0489"
}
],
"practiceLocations": [
{
"address_1": "2 Great Falls Plz Ste 4A",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "ME",
"postal_code": "042105969",
"country_code": "US",
"telephone_number": "207-784-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNARR",
"first_name": "ERICA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "4652",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "BOFFI",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.