Erickson & Gill, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

60042 Issued in KS

Legal business name

ERICKSON & GILL, P.A.

Practice address

122 E Lincoln Ave
Wellington, KS 67152-3045

Phone

(620) 326-5751

Fax

(620) 326-7915

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By 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

Carissa Gill, D.D.S.

Title

Co-Owner

Phone

(620) 326-5751

Specialties & licenses 1

Addresses

Tax ID family

Erickson Gill PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Erickson & Gill, P.a.

  • General Practice Dentistry
  • Wellington, KS
  • NPI 1083661979
  NPD tax ID
• Erickson & Gill, P.a.

  dba Anthony Dental

  • General Practice Dentistry
  • Anthony, KS
  • NPI 1902867047
  NPD tax ID

Locations

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1457697492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E LINCOLN AVE",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671523045",
            "telephone_number": "620-326-5751",
            "fax_number": "620-326-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E LINCOLN AVE",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671523045",
            "telephone_number": "620-326-5751",
            "fax_number": "620-326-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON & GILL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "620-326-5751",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Companies LLC (Dillon Pharmacy)
• Patricia Dudley-Gangwere, LCPC
• E.B. Enterprises LLC (Serenity Senior Retreat)
• Katherine Lee Eck
• Erickson & Gill, P.a.
• Channity M Farley, APRN
• Tasia K Farley, LMLP
• Marcie D Faust, LPC, NBCC
• Faustino M. & Jessie M. Naldoza Jr.
• Christy Lee Foos-Farrow, LSCSW, LCAC

• Dentist in Wellington, KS
• Providers in Wellington, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.