Active NPI
Nicole McErlean, RDH
- Dental Hygienist
- Cedar Park, TX
National Provider Identifier
1215288188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 16053
- Practice address
- 3415 El Salido Pkwy
Suite a
Cedar Park, TX 78613-5521 - Phone
- (512) 257-2483
- NPI assigned
- Oct 1, 2012
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 16053 | TX | Primary |
| Dental Hygienist | 124Q00000X | 012505 | NY |
Addresses
Primary practice location
3415 El Salido Pkwy
Suite a
Cedar Park, TX 78613-5521
Mailing address
3415 El Salido Pkwy
Suite a
Cedar Park, TX 78613-5521
Phone (512) 257-2483
Other names 1
- Nicole Marks
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 |
|---|---|---|---|
| 16053 | TX | MD | Chiropractor |
| 012505 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffery Gerhardt DDS PC Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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
- Cedar Park, TX
- NPI 1720187131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1215288188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 EL SALIDO PKWY",
"address_2": "SUITE A",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786135521",
"telephone_number": "512-257-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 EL SALIDO PKWY",
"address_2": "SUITE A",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786135521",
"telephone_number": "512-257-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCERLEAN",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "16053",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "012505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MARKS",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.