NPIMap

Organization Active NPI

Erickson/Aamodt Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Apple Valley, MN
National Provider Identifier
1528226156
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D9558 Issued in MN
Legal business name
ERICKSON/AAMODT ORTHODONTICS PA
Practice address
7493 147TH St W
Suite 202
Apple Valley, MN 55124-4505
Phone
(952) 431-1111
Fax
(952) 997-2538
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Keith Robert Erickson, DDS
Title
President
Phone
(952) 431-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D9558 MN Primary

Addresses

Primary practice location

7493 147TH St W
Suite 202
Apple Valley, MN 55124-4505

Mailing address

7493 147TH St W
Suite 202
Apple Valley, MN 55124-4505
Phone (952) 431-1111

National Provider Directory

National Provider Directory
Tax ID family
Ericksonaamodt Orthodontics 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.

Locations

7493 147th St W
Ste 202
Apple Valley, MN 55124
Phone (952) 431-1111

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1528226156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7493 147TH ST W",
            "address_2": "SUITE 202",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244505",
            "telephone_number": "952-431-1111",
            "fax_number": "952-997-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 147TH ST W",
            "address_2": "SUITE 202",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244505",
            "telephone_number": "952-431-1111",
            "fax_number": "952-997-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON/AAMODT ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-431-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.