DR. JEFFREY D. ERICKSON (NPI# 1487719209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487719209 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY D. ERICKSON |
| Credential | D.D.S, P.A. |
| Practice Address |
8900 Penn Ave S 105 Bloomington MN 55431-2068 |
| Practice Telephone | 9528845500 |
| Practice Fax Number | 9522531005 |
| Mailing Telephone | 9528845500 |
| Mailing Fax Number | 9522531005 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
83A80 | MN | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760552905 | Jeffrey Allan Erickson | Physical Therapist | 242 Old New Brunswick Rd Ste 3003, Piscataway, NJ 08854 | 2006-11-08 |
| 1083926356 | Jeffrey Hildor Erickson | Dentist | 6701 W Union Hills Dr, Glendale, AZ 85308 | 2010-07-02 |
| 1538484613 | Jeffrey Erickson | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2010-04-01 |
| 1306088141 | Jeffrey Lee Erickson | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2009-03-25 |
| 1053451435 | Jeffrey M Erickson | Dentist | 20265 Lake Chabot Rd, Castro Valley, CA 94546-5307 | 2007-02-07 |
| 1447308580 | Jeffrey Dean Erickson | Social Worker | 1919 University Ave W, 200, Saint Paul, MN 55104-3453 | 2007-01-08 |
| 1801963178 | Jeffrey Erickson | Dentist | 7305 N. Military Trail, Dental Service (160), West Palm Beac, FL 33410 | 2006-11-29 |
| 1902850894 | Jeffrey Gus Erickson | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-05-22 |
| 1194708438 | Jeffrey T. Erickson | Dentist | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2005-11-21 |
| Street Address |
8900 PENN AVE S 105 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334645 | Gregory Allan Harms | Dentist | 8900 Penn Ave S, Ste 201, Bloomington, MN 55431-2068 | 2005-05-31 |
| 1477881779 | Cheryl Thoresen | Psychologist | 8900 Penn Ave S, Suite 301, Bloomington, MN 55431-2068 | 2009-11-24 |
| 1679705404 | Roy Krengel Dds Pa | Dentist | 8900 Penn Ave S, Suite #112, Bloomington, MN 55431-2068 | 2009-08-12 |
| 1740455773 | Bismillah Dental Care Pllc | Clinic/Center | 8900 Penn Ave S, Suite 202, Bloomington, MN 55431-2068 | 2008-04-30 |
| 1548430101 | Richard C. Render, D.d.s., P.a. | Dentist | 8900 Penn Ave S, Suite 307, Bloomington, MN 55431-2068 | 2008-03-10 |
| 1841492428 | Chiropractic Advantage, LLC | Chiropractor | 8900 Penn Ave S, Suite 116, Bloomington, MN 55431-2068 | 2007-06-05 |
| 1184846305 | Haseen Syed | Dentist | 8900 Penn Ave S, Suite #202, Bloomington, MN 55431-2068 | 2007-05-03 |
| 1639214547 | Dr Richard E Brimacomb | Dentist | 8900 Penn Ave S, #112, Bloomington, MN 55431 | 2007-02-20 |
| 1265589642 | Kuipers Orthodontics | Dentist | 8900 Penn Ave S, Suite 216, Bloomington, MN 55431-2068 | 2007-01-05 |
| 1639256050 | Peter W Kuipers | Dentist | 8900 Penn Ave S, Suite 216, Bloomington, MN 55431-2068 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
| 1245415348 | Evans Endodontics, P.C. | Dentist | 208 N Williamsburg Dr, Bloomington, IL 61704-3571 | 2008-01-08 |
| 1568664886 | Steven Mark Sieraski | Dentist | 3601 General Electric Rd, Suite 6, Bloomington, IL 61704-8533 | 2007-05-31 |
| 1194895219 | Endodontic Specialists LLC | Dentist | 3601 General Electric Road, Suite 6, Bloomington, IL 61704 | 2006-11-08 |
| 1043219199 | Allen Wesley Meier | Dentist | 3901 Hagan St, Suite B, Bloomington, IN 47401-8557 | 2005-07-20 |
| 1396164398 | Endodontists of Illinois | Dentist | 113 N Regency Dr, Bloomington, IL 61701-3515 | 2014-04-08 |
| 1427271410 | Joseph Spires | Dentist | 641 S Walker St, Suite C, Bloomington, IN 47403-2154 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071199 | Dental Specialist of Minnesota, Pllc | Dentist | 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391-3324 | 2020-07-29 |
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1780236539 | Modern Care Endodontics of Apple Valley | Dentist | 15160 Foliage Ave Ste 100, Apple Valley, MN 55124-5916 | 2019-07-11 |
| 1699268052 | Christopher Rex Lai | Dentist | 8-166 Moos Health Sciene Tower, 515 Delaware St. Se, Minneapolis, MN 55455 | 2018-06-11 |
| 1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
| 1225533037 | Younghyup Byun | Dentist | 1900 Kruchten Ct S Ste 100, Sartell, MN 56377-4731 | 2018-03-26 |
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1174045975 | The Dental Specialists of Minnesota, Pllc | Dentist | 4640 Nicols Rd Ste 202, Eagan, MN 55122-7400 | 2017-07-13 |
| 1861914061 | The Dental Specialist of Minnesota, Pllc | Dentist | 2550 University Ave W Ste 155s, Saint Paul, MN 55114-1098 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on DR. JEFFREY D. ERICKSON.
| 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.