Active NPI
Evan John Erickson, DDS
- Dentist
- Monroe, NC
National Provider Identifier
1235925470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14559
- Practice address
- 2200 Walters Division Rd
Monroe, NC 28110-8562 - Phone
- (704) 289-1105
- NPI assigned
- Apr 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14559 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 11133 | SC |
Addresses
Primary practice location
2200 Walters Division Rd
Monroe, NC 28110-8562
Mailing address
12951 Bullock Greenway Blvd
Charlotte, NC 28277-8195
Phone (704) 698-8307
Other practice location 1
1030 McKee Farm Ln
Belmont, NC 28012-8687
Phone (704) 829-3700
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 |
|---|---|---|---|
| 11133 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates of Easley, PA | General Practice | Current | Accepting new patients |
| Monique Hudson,DDS, PA | Dentist | Past | Accepting new patients |
| Modlin & Londry III DDS PLLC | General Practice | Past | Accepting new patients |
| Modlin & Londry XV DDS PLLC | General Practice | Past | Accepting new patients |
| George P. Economy D.M.D. P.a. | General Practice | Past | Accepting new patients |
Locations
254 S Irby St
Florence, SC 29501
Phone (843) 667-8880
Organizations & group practices 5
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.
-
dba Downtown Dental Associates of Florence
- General Practice Dentistry
- Florence, SC
- NPI 1033918917
-
dba Monroe Dental Group
- General Practice Dentistry
- Monroe, NC
- NPI 1144709924
-
dba Two Rivers Dental
- General Practice Dentistry
- Belmont, NC
- NPI 1780560565
-
- General Practice Dentistry
- Florence, SC
- NPI 1134265622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1235925470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12951 BULLOCK GREENWAY BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778195",
"telephone_number": "704-698-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WALTERS DIVISION RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281108562",
"telephone_number": "704-289-1105"
}
],
"practiceLocations": [
{
"address_1": "1030 McKee Farm Ln",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "NC",
"postal_code": "280128687",
"country_code": "US",
"telephone_number": "704-829-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "EVAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-15",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "14559",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "11133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.