Jay M Erickson DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAY M ERICKSON DDS PLLC

Doing business as

Erickson Dental

Practice address

1275 Arrington Road Suite 101
College Station, TX 77845

Phone

(979) 321-5300

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jay M Erickson, DDSNPI 1033556105

Title

Sole Member

Phone

(832) 248-8433

Specialties & licenses 1

Addresses

Other names 1

• Erickson Dental Doing business as

Locations

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.

• Jay M Erickson, D.D.S.

  • Dentist
  • College Station, TX
  • NPI 1033556105
  NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1396430302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16827 GYPSY RED DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336272",
            "telephone_number": "832-248-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 ARRINGTON ROAD SUITE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-321-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M ERICKSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "832-248-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Jansky, MD
• Lisa Januskey, O.D.
• Andrew Jarosz, M.S., LAT, ATC, ITAT
• Jason M. Boley, MD., PLLC.
• Jason M. Weaver, MD, PA
• Elliott Abbott Jaye
• Ayesha Jeelani, DDS
• Haley Allison Jeffrey, PA
• Adam Connell Jenkins, M.D.
• Laura Regina Jenkins

• General Practice Dentistry in College Station, TX
• Providers in College Station, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.