Kericksen DMD East PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KERICKSEN DMD EAST PLLC

Doing business as

Elite Dental Center

Practice address

2376 Main St Ste 812
Billings, MT 59105-4018

Phone

(406) 656-5200

NPI assigned

Nov 2, 2023

Last updated

Dec 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Ericksen, DMDNPI 1124683172

Title

Owner

Phone

(406) 591-7279

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Center 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.

• Kurt Ericksen, DMD

  • Dentist
  • Herriman, UT
  • NPI 1124683172
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1407629215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE 812",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054018",
            "telephone_number": "406-656-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE 812",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054018",
            "telephone_number": "406-656-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERICKSEN DMD EAST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-591-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth J Bagby DDS P C
• Heidi Kenney, M.S
• Tiffany Kent
• Thomas Leroy Keogh IV, DC
• Melissa L Kepler, CRNA
• Kericksen, DMD PLLC
• Sydney Kern
• Jill Kerns, FNP-C
• Lidiane M Kerr, BCBA
• Diane W. Kersten, LCSW

• General Practice Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Dentistry in Montana

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