Karl Eric Erickson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D9936 Issued in MN

Practice address

871 Prentice Street
Granite Falls, MN 56241

Phone

(320) 564-2278

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376648451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 PRENTICE STREET",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-564-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 PRENTICE STREET",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-564-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KARL",
        "middle_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Cherveny
• Cynthia Dew Cross, NP-C
• Mark Wendell Eakes, M.D.
• Ann E Eggebraaten, D.C.
• Sierrah Ellenbecker
• June French, SPEECH PATHOLOGIST
• James Fromm
• Gregory Gill
• Granite Drug Inc (Granite Drug)
• Granite Falls Eyecare Inc. (Granite Family Eyecare)

• Dentist in Granite Falls, MN
• Providers in Granite Falls, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.