Eric Hurtte D.M.D, P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ERIC HURTTE D.M.D, P.C.

Doing business as

Boardwalk Family Dental

Practice address

7766 Winghaven Blvd
O Fallon, MO 63368-3601

Phone

(636) 561-4117

NPI assigned

Sep 18, 2019

Last updated

Sep 19, 2019By 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

Kirsten Burkemper

Title

Front Desk

Phone

(636) 561-4117

Specialties & licenses 1

Addresses

Other names 1

• Boardwalk Family Dental Doing business as

Locations

Practitioners 2

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.

• Eric J Hurtte, DMD

  • Dentist
  • O'Fallon, MO
  • NPI 1942359229
  NPD (past)
• Bradley Lance, DDS

  • Dentist
  • O'Fallon, MO
  • NPI 1356900872
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1508416967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 CLARK RD",
            "city": "EOLIA",
            "state": "MO",
            "postal_code": "633442321",
            "telephone_number": "636-734-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683601",
            "telephone_number": "636-561-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC HURTTE D.M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BURKEMPER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "636-561-4117"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardwalk Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boardwalk Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E Engel, MD
• Enlightened Home Care Llc81
• Carla Jean Enyart
• Fatima Aybike Erdemir, RDN
• Rachel Erdmann
• Mary Ellen Ernst, CRNA
• Heather Kirkman Escobar, D.C.
• Ryan N Espenschied, MA, LPC
• Emma Rose Eubanks, MD
• Delaina Evans, FNP-BC

• Preferred Provider Organization in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.