Erin Marie Prach, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1349 Issued in WY

Practice address

130 N Ash St Ste 202
Casper, WY 82601-1876

Phone

(307) 337-4770

Fax

(307) 337-4768

NPI assigned

Jun 25, 2013

Sex

Female

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

Enrolled in WY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1346680261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N ASH ST STE 202",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011876",
            "telephone_number": "307-337-4770",
            "fax_number": "307-337-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N ASH ST STE 202",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011876",
            "telephone_number": "307-337-4770",
            "fax_number": "307-337-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRACH",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Roy Poulsen
• Powder Horn Eye Care, LLC
• Michele Marie Powell-Braman, APRN
• Charles Powell, PH.D.
• Shawn David Powell, PH.D.
• Precision Hearing
• Precision Prosthetics & Orthotics, LLC
• Precision Surgical PC
• Jeffrey Richardson Preston, M.D.
• Judith Ann Prewitt

• All providers in Casper, WY
• Dentist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.

Verify at the official NPI Registry.