Individual provider Active NPI

Erin Mary Hurley, D.D.S.

  • Dentist
  • Fredericksburg, VA
National Provider Identifier
1356721542
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401415525 Issued in VA
Practice address
10620 Courthouse Rd
Fredericksburg, VA 22407-1602
Phone
(540) 898-8616
NPI assigned
Jun 3, 2015
Last updated
Jul 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1002117 DC
Dentist 122300000X 0401415525 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

10620 Courthouse Rd
Fredericksburg, VA 22407-1602

Mailing address

2420 14TH St NW Apt 804
Washington, DC 20009-3758
Phone (607) 742-3872

Other practice location 1

1930 Alcoa Hwy
Medical Building A, Suite 340
Knoxville, TN 37920-1500
Phone (865) 305-9440

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
1002117DCMDDentist
0401415525VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dental Care Past Accepting new patients
Fredericksburg Dental Care Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1356721542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 14TH ST NW APT 804",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093758",
            "telephone_number": "607-742-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 COURTHOUSE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071602",
            "telephone_number": "540-898-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Hwy",
            "address_2": "Medical Building A, Suite 340",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201500",
            "country_code": "US",
            "telephone_number": "865-305-9440",
            "fax_number": "865-305-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "ERIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1002117",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415525",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.