Erik Nelson Molby, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017339 Issued in MI

Practice address

421 2ND St
Traverse City, MI 49684-2004

Phone

(231) 922-0775

Fax

(231) 941-1831

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Grandview Dental Associates PLLC

  • Dental Clinic/Center
  • Traverse City, MI
  • NPI 1083373583
  NPD (past)
• Lakewinds Dental Centre

  • Dentist
  • Ludington, MI
  • NPI 1730338096
  NPD (past)
• West Shore Oral & Maxillofacial Surgery Associates, PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Norton Shores, MI
  • NPI 1053458604
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700912284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 2ND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-499-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 2ND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-922-0775",
            "fax_number": "231-941-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLBY",
        "first_name": "ERIK",
        "middle_name": "NELSON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coda Mix
• Kylie Janae Mix, RDH
• Shannon Moeggenborg, APRN, FNP-C
• Emad N Mohammed, DBS
• Jennifer Marie Mohler
• Monarch Bay Wellness, PLLC
• Monarch Home Health Services
• Cindy Marie Monroe, CCC-SP
• Devin J Montague
• Sharron Montague, LMSW

• General Practice Dentistry in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.