Active NPI
Kurt Allan Eriksson, DMD
- General Practice Dentistry
- Jacksonville, NC
National Provider Identifier
1619319134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13107
- Practice address
- 571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683 - Phone
- (910) 716-0101
- NPI assigned
- Jul 25, 2013
- Last updated
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039589 | PA | |
| General Practice Dentistry | 1223G0001X | 13107 | NC | Primary |
Addresses
Primary practice location
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Mailing address
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Phone (910) 716-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821004284 | NC | Order and Referring Only - Dentist | 7911407267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039589 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xli DDS PA | Dentist | Current | Accepting new patients |
Locations
571 Yopp Rd
Ste 308
Jacksonville, NC 28540
Phone (910) 716-0101
Organizations & group practices 1
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.
-
- Dentist
- Jacksonville, NC
- NPI 1033794300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1619319134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIKSSON",
"first_name": "KURT",
"middle_name": "ALLAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039589",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.