Active NPI
Erie Dental Sleep Therapy, LLC
- Dentist
- Erie, PA
National Provider Identifier
1811295181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS023159L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John H. Tucker, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6524740001 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110628000112 | PA | DME Supplier - Oral Surgery - Dentist | 0042498784 | Practice locations: Erie, PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Erie, PA
- NPI 1205967510
-
- General Practice Dentistry
- Erie, PA
- NPI 1376674697
-
- General Practice Dentistry
- Erie, PA
- NPI 1831144062
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.