NPIMap

Organization Active NPI

John P. Eriksmoen, DDS, Inc.

  • Customized Equipment (DME)
  • Newport Beach, CA
National Provider Identifier
1407240864
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
19340 Issued in CA
Legal business name
JOHN P. ERIKSMOEN, DDS, INC.
Practice address
1441 Avocado Ave Ste 508
Newport Beach, CA 92660-7706
Phone
(949) 640-5680
Fax
(949) 760-2587
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. John P Eriksmoen, D.D.S.NPI 1073670022
Title
President
Phone
(949) 640-5680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 19340 CA Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 508
Newport Beach, CA 92660-7706

Mailing address

1441 Avocado Ave Ste 508
Newport Beach, CA 92660-7706
Phone (949) 640-5680

National Provider Directory

National Provider Directory

Locations

1441 Avocado Ave
Ste 508
Newport Beach, CA 92660
Phone (949) 640-5680

Practitioners & affiliated clinicians

Practitioners 7

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": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1407240864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607706",
            "telephone_number": "949-640-5680",
            "fax_number": "949-760-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607706",
            "telephone_number": "949-640-5680",
            "fax_number": "949-760-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. ERIKSMOEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "ERIKSMOEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-640-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "19340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.