Organization Active NPI

Ty J Eriks DMD Corp

Doing business as Eriks Dental Group

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1659143352
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TY J ERIKS DMD CORP
Doing business as
Eriks Dental Group
Practice address
3399 W Woolbright Rd
Boynton Beach, FL 33436-7245
Phone
(561) 733-4004
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Dr. Ty Eriks, DMDNPI 1235427493
Title
Owner
Phone
(206) 794-2212

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3399 W Woolbright Rd
Boynton Beach, FL 33436-7245

Mailing address

3399 W Woolbright Rd
Boynton Beach, FL 33436-7245
Phone (561) 733-4004

Other practice location 1

1625 E Las Olas Blvd
Fort Lauderdale, FL 33301-2357
Phone (954) 463-5051

Other names 1

  • Eriks Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3399 W Woolbright Rd
Boynton Beach, FL 33436
Phone (561) 703-5013

1625 E Las Olas Blvd
Fort Lauderdale, FL 33301
Phone (954) 463-5051

Practitioners & affiliated clinicians

Practitioners 7

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1659143352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367245",
            "telephone_number": "561-733-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367245",
            "telephone_number": "561-733-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 E Las Olas Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012357",
            "country_code": "US",
            "telephone_number": "954-463-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TY J ERIKS DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "ERIKS",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-794-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eriks Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.