Organization Active NPI

Erie Dental Sleep Therapy, LLC

  • Dentist
  • Erie, PA
National Provider Identifier
1811295181
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023159L Issued in PA
Legal business name
ERIE DENTAL SLEEP THERAPY, LLC
Practice address
3736 Sterrettania Rd
Erie, PA 16506-2829
Phone
(814) 836-2866
Fax
(814) 217-6811
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Dr. John H. Tucker, DMDNPI 1205967510
Title
Owner
Phone
(814) 836-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS023159L PA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3736 Sterrettania Rd
Erie, PA 16506-2829

Mailing address

3736 Sterrettania Rd
Erie, PA 16506-2829
Phone (814) 836-2866

Other identifiers 1

IdentifierTypeStateIssuer
6524740001OtherPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000112 PA DME Supplier - Oral Surgery - Dentist 0042498784 Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

3736 Sterrettania Rd
Erie, PA 16506
Phone (814) 836-2866

Practitioners & affiliated clinicians

Practitioners 3

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1811295181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062829",
            "telephone_number": "814-836-2866",
            "fax_number": "814-217-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062829",
            "telephone_number": "814-836-2866",
            "fax_number": "814-217-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE DENTAL SLEEP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-836-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023159L",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6524740001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.