NPIMap

Organization Active NPI

Erickson/Aamodt Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eagan, MN
National Provider Identifier
1649438268
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
2130 Cliff Rd
Suite 220
Eagan, MN 55122-2485
Phone
(651) 405-1055
Fax
(651) 405-0727
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
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, DDSNPI 1043305626
Title
President
Phone
(651) 405-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D9558 MN Primary

Addresses

Primary practice location

2130 Cliff Rd
Suite 220
Eagan, MN 55122-2485

Mailing address

2130 Cliff Rd
Suite 220
Eagan, MN 55122-2485
Phone (651) 405-1055

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

2130 Cliff Rd
Ste 220
Eagan, MN 55122
Phone (651) 405-1055

Practitioners & affiliated clinicians

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.

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": "1649438268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CLIFF RD",
            "address_2": "SUITE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222485",
            "telephone_number": "651-405-1055",
            "fax_number": "651-405-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CLIFF RD",
            "address_2": "SUITE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222485",
            "telephone_number": "651-405-1055",
            "fax_number": "651-405-0727"
        }
    ],
    "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": "651-405-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, 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.