Erica Nicole Elannan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D05851 Issued in AZ

Practice address

4025 W Bell Rd Ste 14
Phoenix, AZ 85053-2749

Phone

(206) 850-3467

NPI assigned

Dec 20, 2006

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erica Nicole Elannan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1700940129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43262",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850803262",
            "telephone_number": "206-850-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749",
            "telephone_number": "206-850-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42104 N. Venture Drive",
            "address_2": "Suite E-103",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "85086",
            "country_code": "US",
            "telephone_number": "623-551-9200",
            "fax_number": "623-551-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELANNAN",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16541",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D05851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "ELANNAN",
            "middle_name": "NICOLE",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadia El-Hillal, D.M.D.
• Samar El-Sharkawy
• Cyrus Elahi, MD
• Elaine
• Sri Saravani Elango
• Gregg A Elbert, P.A.-C.
• Tracy Elberts, PNP
• Jamie Marie Elbogen
• Steven Charles Elcock, DMD
• Emily Elcsisin

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.