Individual provider Active NPI

Pamela Ruth Erickson, DDS

  • Pediatric Dentistry
  • Edina, MN
National Provider Identifier
1487769139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10091 Issued in MN
Practice address
7373 France Ave So
Suite 402
Edina, MN 55435-4598
Phone
(952) 831-4400
Fax
(952) 893-3041
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10091 MN Primary

Addresses

Primary practice location

7373 France Ave So
Suite 402
Edina, MN 55435-4598

Mailing address

6600 Clearwater Dr
Suite 210
Minnetonka, MN 55343-9468
Phone (952) 932-0920

Other names 1

  • Pamela Ruth Delzer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10091MNMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487769139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CLEARWATER DR",
            "address_2": "SUITE 210",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439468",
            "telephone_number": "952-932-0920",
            "fax_number": "952-932-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE SO",
            "address_2": "SUITE 402",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354598",
            "telephone_number": "952-831-4400",
            "fax_number": "952-893-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "PAMELA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "10091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DELZER",
            "middle_name": "RUTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.