John Arthur Erickson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D9137 Issued in MN

Practice address

210 West Broadway
Monticello, MN 55362-0969

Phone

(763) 295-3676

Fax

(763) 295-8836

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monticello Family Dentistry LLC

  • General Practice Dentistry
  • Monticello, MN
  • NPI 1588794879
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184844888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553620969",
            "telephone_number": "763-295-3676",
            "fax_number": "763-295-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST BROADWAY",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553620969",
            "telephone_number": "763-295-3676",
            "fax_number": "763-295-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecumen SBC Monticello Properties, LLC (St. Benedict's Court)
• Michelle Eddy, D.C.
• Elaine Happ OD PA (Uptown Eye Care)
• Christopher Douglas Elness, APRN CNP
• Catherine M Enger, PHARM.D.
• John Charles Erlandson, DDS
• Teresa Rosabelle Euphosin
• Steven Todd Exsted, O.D.
• Carlan Morris Fergason
• Rebekah Morgan Fiers, MD

• Dentist in Monticello, MN
• Providers in Monticello, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.