NPIMap

Organization Active NPI

Eriks Dental, PC

  • General Practice Dentistry
  • Lebanon, IN
National Provider Identifier
1215340880
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010984A Issued in IN
Legal business name
ERIKS DENTAL, PC
Practice address
1338 S Lebanon St Ste 100
Lebanon, IN 46052-2792
Phone
(765) 659-4977
NPI assigned
Jun 11, 2014
Organization subpart
Yes
Parent organization
ERIKS DENTAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Dr. Douglas A Eriks, DDS
Title
Owner
Phone
(765) 659-4977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010984A IN Primary

Addresses

Primary practice location

1338 S Lebanon St Ste 100
Lebanon, IN 46052-2792

Mailing address

1338 S Lebanon St Ste 100
Lebanon, IN 46052-2792

Other names 1

  • Lebanon Dentures and Implants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eriks Dental PC2 organizations share this tax ID, including this one
Part of
Eriks Dental PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1338 S Lebanon St
#100
Lebanon, IN 46052
Phone (765) 659-4977

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1215340880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 S LEBANON ST STE 100",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 S LEBANON ST STE 100",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522792",
            "telephone_number": "765-659-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKS DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIKS DENTAL, PC",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "ERIKS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-659-4977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010984A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Dentures and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.