Erickson DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1329 Issued in WY

Legal business name

ERICKSON DMD PC

Doing business as

307 Orthodontics

Practice address

932 S David St
Casper, WY 82601-3738

Phone

(307) 237-8419

Fax

(307) 234-4912

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kolton K Erickson, D.M.D.

Title

President

Phone

(307) 237-8419

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 307 Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Lewis Wetzel Jr., D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Casper, WY
  • NPI 1629244637
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1821420720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826022190",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013738",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KOLTON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-237-8419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "1329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770893414",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "307 Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Epic Chiropractic of Casper LLC
• Epsilon Health Solutions LLC
• Equality State Infection Foundation
• Equality State Infection Foundation
• Eric Siiteri PHD LLC
• Gordon Todd Erickson, PA
• David J Erk, MD
• Ann Marie Ernst, LPC
• Rebecca Ertle, MA, LSC, LPC, PPC
• Lorian Josephine Eskew, MA, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Casper, WY
• Providers in Casper, WY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.