Active NPI
Erin Mary Hurley, D.D.S.
- Dentist
- Fredericksburg, VA
National Provider Identifier
1356721542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415525
- Practice address
- 10620 Courthouse Rd
Fredericksburg, VA 22407-1602 - Phone
- (540) 898-8616
- NPI assigned
- Jun 3, 2015
- Last updated
- Jul 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1002117 | DC | MD | Dentist |
| 0401415525 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Fredericksburg, VA
- NPI 1467543900
-
- General Practice Dentistry
- Fredericksburg, VA
- NPI 1932374683
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.