Organization Active NPI

Erich T Brewer DDS, PA

  • Endodontics
  • Raleigh, NC
National Provider Identifier
1356441398
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4552 Issued in NC
Legal business name
ERICH T BREWER DDS, PA
Practice address
206 W Millbrook Road
Raleigh, NC 27609
Phone
(919) 847-5964
NPI assigned
Sep 22, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Erich T Brewer, DDS MSNPI 1184062622
Title
President
Phone
(919) 847-5964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 4552 NC Primary

Addresses

Primary practice location

206 W Millbrook Road
Raleigh, NC 27609

Mailing address

206 W Millbrook Rd
Raleigh, NC 27609-4304
Phone (919) 847-5964

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1356441398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094304",
            "telephone_number": "919-847-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MILLBROOK ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-847-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICH T BREWER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-847-5964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "4552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.