Chad Wayne Erickson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413421 Issued in VA

Practice address

2601 C Ave
Fort Lee, VA 23801-1717

Phone

(435) 764-5125

NPI assigned

Nov 29, 2011

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• HQ US Army Dental Activities

  • Dentist
  • Newport News, VA
  • NPI 1134504574
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1528335973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 STERNBERG AVE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041526",
            "telephone_number": "435-764-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 C AVE",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011717",
            "telephone_number": "435-764-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CHAD",
        "middle_name": "WAYNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuyet Dang Ngoc DO, D.D.S.
• Julliam Dones
• Leonard S. Drost
• Deborah Dumond, R.N.
• Linda Edwards, NURSE
• Christopher S Ficke, P.T.
• Joy Elaine Finn, LPN
• Shenaye R Fontenot
• Michael Franciscus, DDS
• David Fulp

• General Practice Dentistry in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.