NPIMap

Organization Active NPI

Jason Erickson DDS, PA

  • Dentist
  • Irving, TX
National Provider Identifier
1730339441
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22975 Issued in TX
Legal business name
JASON ERICKSON DDS, PA
Practice address
4030 N Macarthur Blvd
Suite 100
Irving, TX 75038-6429
Phone
(972) 717-0077
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Jason W Erickson
Title
Officer
Phone
(972) 717-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22975 TX Primary

Addresses

Primary practice location

4030 N Macarthur Blvd
Suite 100
Irving, TX 75038-6429

Mailing address

4030 N Macarthur Blvd
Suite 100
Irving, TX 75038-6429
Phone (972) 717-0077

Other names 1

  • Erickson Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4030 N MacArthur Blvd
Ste 100
Irving, TX 75038
Phone (972) 717-0077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1730339441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386429",
            "telephone_number": "972-717-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386429",
            "telephone_number": "972-717-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON ERICKSON DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-717-0077"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

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