Roger A Erickson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

028935 Issued in NY

Practice address

1 East Main St.
HSBC Bank Building
Falconer, NY 14733

Phone

(716) 665-2303

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336282284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 ROUTE 394",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147339637",
            "telephone_number": "716-665-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAST MAIN ST.",
            "address_2": "HSBC BANK BUILDING",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "14733",
            "telephone_number": "716-665-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri L Crouse, LMT
• CVS Albany LLC (CVS Pharmacy #05089)
• Lisa Didomenico, PHARMD
• Ryan Peter Domagala
• Pamela S. Eckendorf, CCC-SLP
• Amanda Erlandson
• Falconer Central School
• Falconer Pharmacy, Inc
• Sarah Fales
• Fancee Limousine Service, Inc

• General Practice Dentistry in Falconer, NY
• Providers in Falconer, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.