DR. IAN MATTHEW ERICKSON (NPI# 1528216256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528216256 |
| Entity Type | Individual |
| Full Name | DR. IAN MATTHEW ERICKSON |
| Credential | DMD |
| Practice Address |
1224 Ne 7th St Grants Pass OR 97526-1424 |
| Mailing Address |
80 Haskell St Apt 3 Central Point OR 97502-2395 |
| Practice Telephone | 5414763419 |
| Mailing Telephone | 9712370096 |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9158 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972991628 | Ian Erickson | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2015-01-05 |
| Street Address |
1224 NE 7TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414470 | Mart D Erickson Dds PC | Dentist | 1224 Ne 7th St, Grants Pass, OR 97526 | 2005-08-22 |
| 1780053249 | Erickson Dental Care LLC | Dentist | 1224 Ne 7th St, Grants Pass, OR 97526-1424 | 2015-09-15 |
| 1124451984 | Rachel Bella Erickson | Dentist | 1224 Ne 7th St, Grants Pass, OR 97526-1424 | 2013-08-15 |
| 1215265863 | Mart D Erickson | Dentist | 1224 Ne 7th St, Grants Pass, OR 97526-1424 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1659712123 | Carmel E Townsend | Dentist | 1201 Ne 7th St Ste A, Grants Pass, OR 97526-1451 | 2013-07-12 |
| 1548549991 | Sten Martin Erickson | Dentist | 1035 Ne 6th St Ste B, Grants Pass, OR 97526-1298 | 2011-08-16 |
| 1881991446 | Caleb V Coombs | Dentist | 1010 Ne 7th St., Grants Pass, OR 97526 | 2011-02-17 |
| 1992010219 | Redwood Family Dental Care | Dentist | 1867 Redwood Ave, Suite 14, Grants Pass, OR 97527-6408 | 2010-08-11 |
| 1891020806 | Michael Holm | Dentist | 124 Ne Evelyn Ave, Grants Pass, OR 97526-1427 | 2009-10-08 |
| 1720227390 | Rhonda Kay Bowen | Dentist | 1215 Ne 7th St Ste A, Grants Pass, OR 97526-1450 | 2009-02-05 |
| 1225191018 | Peter Steven Tommerup | Dentist | 702 Sw Ramsey Ave Ste 224, Grants Pass, OR 97527-5858 | 2006-12-19 |
| 1679648349 | Douglas Matthew Vetsch | Dentist | 114 Ne Jackson, Grants Pass, OR 97526 | 2006-11-21 |
| 1275620783 | Jim B Hales | Dentist | 781 B Ne 7th St, Grants Pass, OR 97526-1654 | 2006-10-06 |
| 1619925427 | Deborah Lee Marynak | Dentist | 1201 Ne 7th Street, Suite A, Grants Pass, OR 97526 | 2006-05-04 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.