Robert Erdman, D.D.S.,P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

11444 Issued in FL

Legal business name

ROBERT ERDMAN, D.D.S.,P.A.

Practice address

2578 S Volusia Ave
Orange City, FL 32763-9124

Phone

(386) 775-1552

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ilene Pawlik

Title

Insurancecoordinator

Phone

(386) 775-1552

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Erdman, DDS PA

  • Dentist
  • Orange City, FL
  • NPI 1316003882
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1922343102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639124",
            "telephone_number": "386-775-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639124",
            "telephone_number": "386-775-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ERDMAN, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "PAWLIK",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "INSURANCECOORDINATOR",
        "authorized_official_telephone_number": "386-775-1552"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "63042",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "598094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Clemente Rivera, RN
• Edmundo I Rivera, MD
• Jose Arnaldo Rivera, D.P.M
• Rebecca Rivetto, MA, BCBA
• Rizen Wellness Lounge LLC
• Robert P. Collette MD PA
• Brooke Alison Roberts
• Judy Jennifer Roberts, DO
• Taylor Roberts
• Charlene Trisha Robertson, M.D

• Dentist in Orange City, FL
• Providers in Orange City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.