Individual provider Active NPI

Erik Arthur Johnson, DMD

  • Dentist
  • Presque Isle, ME
National Provider Identifier
1184888026
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4076 Issued in ME
Practice address
181 Academy St Ste 4
Presque Isle, ME 04769-3178
Phone
(207) 462-4767
Fax
(207) 512-1702
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4076 ME Primary

Addresses

Primary practice location

181 Academy St Ste 4
Presque Isle, ME 04769-3178

Mailing address

PO Box 4197
Presque Isle, ME 04769-4197
Phone (207) 462-4767

Other identifiers 1

IdentifierTypeStateIssuer
4076OtherMEMAINE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025001002 ME Practitioner - Dentist 9032463922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4076MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center Current Accepting new patients
County Roots Childrens Dentistry LLC Dentist CurrentSince Mar 30, 2025 Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

529 S Patten Rd
Patten, ME 04765

181 Academy St
Ste 4
Presque Isle, ME 04769
Phone (207) 764-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1184888026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4197",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047694197",
            "telephone_number": "207-462-4767",
            "fax_number": "207-512-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST STE 4",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-462-4767",
            "fax_number": "207-512-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIK",
        "middle_name": "ARTHUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE LICENSE NUMBER",
            "identifier": "4076",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.