Individual provider Active NPI

John Frederick Erhard, DDS

  • Dentist
  • Moscow, PA
National Provider Identifier
1235270141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS018168L Issued in PA
Practice address
RR 2 Box 2250
Moscow, PA 18444-9524
Phone
(570) 842-4211
Fax
(570) 842-4211
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS018168L PA Primary

Addresses

Primary practice location

RR 2 Box 2250
Moscow, PA 18444-9524

Mailing address

RR 2 Box 2250
Moscow, PA 18444-9524
Phone (570) 842-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 11, 2015 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS018168LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cda North Pocono LLC PastSince Feb 12, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235270141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2250",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449524",
            "telephone_number": "570-842-4211",
            "fax_number": "570-842-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2250",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449524",
            "telephone_number": "570-842-4211",
            "fax_number": "570-842-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERHARD",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS018168L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

Verify at the official NPI Registry.