Individual provider Active NPI

Scott David Erikson, DDS MS

  • Periodontics
  • High Point, NC
National Provider Identifier
1821137472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6557 Issued in NC
Practice address
303 Gatewood Avenue
High Point, NC 27262-4821
Phone
(336) 889-5939
Fax
(336) 889-5914
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6557 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

303 Gatewood Avenue
High Point, NC 27262-4821

Mailing address

303 Gatewood Avenue
High Point, NC 27262-4821
Phone (336) 889-5939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821137472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GATEWOOD AVENUE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624821",
            "telephone_number": "336-889-5939",
            "fax_number": "336-889-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GATEWOOD AVENUE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624821",
            "telephone_number": "336-889-5939",
            "fax_number": "336-889-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSON",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "6557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.