Individual provider Active NPI

Tamie Erratt, D.D.S.

  • General Practice Dentistry
  • Bryan, TX
National Provider Identifier
1770609349
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14395 Issued in TX
Practice address
3832 S Texas Ave
Bryan, TX 77802-3712
Phone
(979) 846-3101
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14395 TX Primary

Addresses

Primary practice location

3832 S Texas Ave
Bryan, TX 77802-3712

Mailing address

3832 S Texas Ave
Bryan, TX 77802-3712
Phone (979) 846-3101

Other names 1

  • Tamie Erratt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160127001506 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325341225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14395TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1770609349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023712",
            "telephone_number": "979-846-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023712",
            "telephone_number": "979-846-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRATT",
        "first_name": "TAMIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIE",
            "last_name": "ERRATT",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.