Active NPI
Norma Hyland Ericson, DR
- Dentist
- Downers Grove, IL
National Provider Identifier
1710055314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19018784
- Practice address
- 6800 Main Street
Suite 315
Downers Grove, IL 60516 - Phone
- (630) 969-5350
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19018784 | IL | Primary |
Addresses
Primary practice location
6800 Main Street
Suite 315
Downers Grove, IL 60516
Mailing address
1424 Ridgewood
Downers Grove, IL 60516
Phone (630) 969-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 9, 2015 through Mar 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19018784 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710055314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 RIDGEWOOD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60516",
"telephone_number": "630-969-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 MAIN STREET",
"address_2": "SUITE 315",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60516",
"telephone_number": "630-969-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICSON",
"first_name": "NORMA",
"middle_name": "HYLAND",
"name_prefix": "Dr.",
"credential": "DR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19018784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.