Active NPI
Patricia Ross Erickson, DDS
- Public Health Dentistry
- Milwaukee, WI
National Provider Identifier
1982723920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 6346-015
- Practice address
- 1308 S Cesar E Chavez Dr
Milwaukee, WI 53204-2711 - Phone
- (414) 383-3220
- Fax
- (414) 383-3363
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3499 | NH | |
| Public Health Dentistry | 1223D0001X | 6346-015 | WI | Primary |
Addresses
Primary practice location
1308 S Cesar E Chavez Dr
Milwaukee, WI 53204-2711
Mailing address
2102 N 62ND St
Wauwatosa, WI 53213-2053
Phone (262) 758-4020
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 |
|---|---|---|---|
| 6346-015 | WI | MD | Public Health Dentist |
| 3499 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1982723920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 N 62ND ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132053",
"telephone_number": "262-758-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042711",
"telephone_number": "414-383-3220",
"fax_number": "414-383-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "PATRICIA",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3499",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "WI",
"license": "6346-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.