Ericka Klein Freemann, DMD

Key facts

NPI

1457569824

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

021966 (PA)

Practice address

227 W Lancaster Ave
Suite 201
Devon, PA 19333-1555

Phone

(610) 688-4100

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bioesthetic Dentistry, Inc General Practice Dentistry · Devon, PA · NPI 1013962323
  NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Opted out of Medicare

Yes, effective Sep 14, 2021 through Sep 14, 2027

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2015.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1457569824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W LANCASTER AVE",
            "address_2": "SUITE 201",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331555",
            "telephone_number": "610-688-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W LANCASTER AVE",
            "address_2": "SUITE 201",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331555",
            "telephone_number": "610-688-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMANN",
        "first_name": "ERICKA",
        "middle_name": "KLEIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "021966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PART",
            "identifier": "124133",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kyle L Forsyth, MD
• Laurie Lee Fox Muldoon, PTA
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• Erica Frisby
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• Laura Fruchter, MD
• FTH Services
• Frank H Furman, MD

All providers in Devon, PA · General Practice Dentistry in Pennsylvania