Active NPI
Aaron Erickson, DDS
- Dentist
- Gillette, WY
National Provider Identifier
1982003455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1373
- Practice address
- 207 Richards Ave
Gillette, WY 82716-3630 - Phone
- (307) 685-1111
- NPI assigned
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1373 | WY | Primary |
Addresses
Primary practice location
207 Richards Ave
Gillette, WY 82716-3630
Mailing address
2308 Big Lost Dr
Gillette, WY 82718-3605
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1373 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Sky Dental | Past | Accepting new patients | |
| Mountain West Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Gillette, WY
- NPI 1346606654
-
- General Practice Dentistry
- Gillette, WY
- NPI 1922437847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1982003455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 BIG LOST DR",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827183605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 RICHARDS AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163630",
"telephone_number": "307-685-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.