Individual provider Active NPI

Joshua Erickson, DDS MSD

  • Pediatric Dentistry
  • Colorado Springs, CO
National Provider Identifier
1346467206
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN 9665 Issued in CO
Practice address
9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000
Phone
(719) 282-6666
Fax
(719) 203-5477
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN 9665 CO
Pediatric Dentistry 1223P0221X DEN 9665 CO Primary

Addresses

Primary practice location

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000

Mailing address

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000
Phone (719) 439-9476

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherTNRESIDENT

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

LicenseStateTypeSpecialty
DEN 9665COMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Child Dental & Orthodontic Specialists PC Pediatric Dentistry CurrentSince Jul 3, 2022 Accepting new patients
Smile Smoky Hill, LLC Pediatric Dentistry Current Accepting new patients
Erickson Pediatric Dentistry & Orthodontics PC Pediatric Dentistry CurrentSince Jun 12, 2022 Accepting new patients

Locations

22986 E Smoky Hill Rd
Aurora, CO 80016
Phone (303) 690-1690

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 282-6666

8580 Scarborough Dr
Ste 220
Colorado Springs, CO 80920
Phone (719) 282-6666

16055 Old Forest Pt
Ste 202
Monument, CO 80132

Organizations & group practices 3

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1346467206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247000",
            "telephone_number": "719-439-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9334 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247000",
            "telephone_number": "719-282-6666",
            "fax_number": "719-203-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-04-05",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN 9665",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN 9665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT",
            "identifier": "390200000X",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.