Kim L Erickson, D.D.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

KE011553 Issued in MI

Practice address

4500 Cascade Rd SE
Suite #208
Grand Rapids, MI 49546-3665

Phone

(616) 977-5000

Fax

(616) 977-0020

NPI assigned

Jul 27, 2006

Last updated

Sep 11, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oral and Maxillofacial Surgery Services, PLC

  • Oral and Maxillofacial Radiology Dentistry
  • Grand Rapids, MI
  • NPI 1548283559
  Authorized official Same address or phone
• Oral Surgery Associates of Lansing PC

  dba Ionia Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
  • NPI 1881797983
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568486769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CASCADE RD SE",
            "address_2": "SUITE #208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463665",
            "telephone_number": "616-977-5000",
            "fax_number": "616-977-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CASCADE RD SE",
            "address_2": "SUITE #208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463665",
            "telephone_number": "616-977-5000",
            "fax_number": "616-977-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KIM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MI",
            "license": "KE011553",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "KE011553",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "MI",
            "license": "KE011553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joy Ericksen, RBT
• Anna Frances Erickson, PA-C
• Eric Edward Erickson, DO
• Julie Erickson, LMSW
• Kathryn Erickson, MS
• Erika Crenshaw LMSW LLC
• Bethany Marie Eriksen, FNP-C
• Erin Sweeney Counseling LLC
• Marguerite Louise Erlandson
• Hester Erlank, PT

• Oral and Maxillofacial Pathology Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Oral and Maxillofacial Pathology Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.