Erick C Chamblee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22304 Issued in OH

Practice address

1040 Trump Road
St a
Carrollton, OH 44615

Phone

(330) 627-5666

Fax

(330) 627-7889

NPI assigned

Aug 12, 2006

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berg & Birong DDS LLC

  • Dentist
  • Carrollton, OH
  • NPI 1588676068
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1952313447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446150297",
            "telephone_number": "330-627-5666",
            "fax_number": "330-627-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TRUMP ROAD",
            "address_2": "ST A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "44615",
            "telephone_number": "330-627-5666",
            "fax_number": "330-627-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLEE",
        "first_name": "ERICK",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "22304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Hills Industries, Inc.
• Carrollton Chiropractic Center Inc
• Carrollton Exempted Village School District
• Reva Castelucci
• Centreville Village of Carroll County
• Gary Wayne Clark, D.O.
• Kimberly L Clark
• Cleveland Clinic Mercy Hospital
• Cleveland Clinic Mercy Hospital
• Cleveland Clinic Mercy Hospital

• Dentist in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.