Active NPI
Eric Thomas Pratt, DDS
- Dentist
- Louisville, CO
National Provider Identifier
1275829160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00204502
- Practice address
- 877 E South Boulder Rd
Louisville, CO 80027-1345 - Phone
- (303) 665-8228
- NPI assigned
- Jun 20, 2011
- Last updated
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 00204502 | CO | Primary |
| General Practice Dentistry | 1223G0001X | 6297 | OK |
Addresses
Primary practice location
877 E South Boulder Rd
Louisville, CO 80027-1345
Mailing address
812 NW 145TH Cir
Edmond, OK 73013-1876
Phone (405) 760-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117002343 | TX | Order and Referring Only - Dentist | 8820377674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00204502 | CO | MD | Dentist |
| 6297 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1275829160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 NW 145TH CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131876",
"telephone_number": "405-760-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 E SOUTH BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "303-665-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "ERIC",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2021-10-04",
"certification_date": "2021-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00204502",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
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- Positive Therapeutic Beginnings, LLC
- Laureen O Powell, RDH
- Graham Stewart Prather, MS, MA, LPCC, EMT
- Marilina Pratt, DDS
- Shelese Marie Pratt, N.D.
- Praxair Healthcare Services, Inc.
- Precision Pelvic Health LLC (Precision Pelvic Health)
- Precision Physical Therapy Inc (Precision Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.