Erica Balbuena Tapia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11091 Issued in NC

Practice address

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Phone

(252) 940-0602

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Interoperability endpoints

• Direct secure messaging: ebalbuena265598@direct.ochin.org

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.

• Erica Balbuena Tapia DMD PLLC

  dba Tapia Dental Studio

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1467370783
  Authorized official Same address or phone
• Metropolitan Community Health Services, Inc

  dba Agape Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1770078719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "FALKLAND",
            "state": "NC",
            "postal_code": "278270113",
            "telephone_number": "252-227-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Godwin Dr",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278926828",
            "country_code": "US",
            "telephone_number": "252-789-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALBUENA TAPIA",
        "first_name": "ERICA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "11091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyn D Asher, FNP
• At Ease Home Care LLC
• Avada Audiology & Hearing Care
• Kim D Bailey, BA
• David A Baker, PA-C
• Charles Littleburg Baltimore Jr., M.D.
• Samantha Barbour
• James Franklin Barwick Jr., MD
• Lisa Michelle Bazemore, LCAS-A
• Beaufort County Department of Social Services

• General Practice Dentistry in Washington, NC
• Providers in Washington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.