JUSTIN ERICKSON (NPI# 1003269408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003269408 |
| Entity Type | Individual |
| Full Name | JUSTIN ERICKSON |
| Credential | DDS |
| Practice Address |
4001 Lake Otis Pkwy #200 Anchorage AK 99508-5200 |
| Practice Telephone | 9072220400 |
| Mailing Telephone | 9072220400 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 60653265 | WA | Dental Providers |
| Y | 122300000X | Dentist | 110578 | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023327285 | Justin Erickson | Kinesiotherapist | 7447 Egan Dr Ste 203, Savage, MN 55378-2398 | 2010-10-05 |
| Street Address |
4001 LAKE OTIS PKWY #200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764670 | Orest Mychajlo Harkacz Sr. | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2005-10-20 |
| 1962896746 | Sean Walsh | Physician Assistant | 4001 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5200 | 2015-03-19 |
| 1285025270 | Shawna Cooke | Registered Nurse | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2015-02-11 |
| 1992126486 | Matthew Paige Dds & Jason M Bressler Dds-anchorage, LLC | Dentist | 4001 Lake Otis Pkwy, #200, Anchorage, AK 99508-5200 | 2013-12-30 |
| 1639416001 | Foothills Dentistry Alaska, LLC | Dentist | 4001 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5200 | 2013-01-05 |
| 1669613899 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2009-03-18 |
| 1851573331 | Dimond Medical Clinic, LLC | Family Medicine | 4001 Lake Otis Pkwy, #100, Anchorage, AK 99508-5211 | 2007-11-27 |
| 1548386410 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-22 |
| 1104959915 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-13 |
| 1629100961 | Planned Parerthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1306361712 | Leilani Marlin | Dentist | 2000 Abbott Rd Ste 100, Anchorage, AK 99507-3878 | 2017-08-07 |
| 1750802104 | Ali Azar | Dentist | 1136 N Muldoon Rd, Anchorage, AK 99504-6119 | 2017-07-06 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.