Affordable Dentures - Erie II, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS030754L PA Issued in PA

Legal business name

AFFORDABLE DENTURES - ERIE II, P.C.

Practice address

1101 Peninsula Dr
Peninsula Plaza Shopping Center, Ste #210
Erie, PA 16505

Phone

(814) 833-7540

Fax

(814) 833-6455

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Sherif Fayez Fahmy Keriakes, DDS

Title

Denitist/Managing Dentist

Phone

(814) 833-7540

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Affordable Dentures - Erie II PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Affordable Dentures, Erie, P.C.

  • Dentist
  • Erie, PA
  • NPI 1093850174
  NPD tax ID

Locations

Practitioners 1

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

• Daniel Ripps, DDS

  • Dentist
  • Erie, PA
  • NPI 1124293659
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922010503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR",
            "address_2": "PENINSULA PLAZA SHOPPING CENTER, STE #210",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-833-7540",
            "fax_number": "814-833-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR",
            "address_2": "PENINSULA PLAZA SHOPPING CENTER, STE #210",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-833-7540",
            "fax_number": "814-833-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - ERIE II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERIAKES",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "FAYEZ FAHMY",
        "authorized_official_title_or_position": "DENITIST/MANAGING DENTIST",
        "authorized_official_telephone_number": "814-833-7540",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS030754L PA",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019205030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Erie, PA
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.