CHAD WAYNE ERICKSON (NPI# 1528335973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528335973 |
| Entity Type | Individual |
| Full Name | CHAD WAYNE ERICKSON |
| Credential | DDS |
| Practice Address |
2601 C Ave Fort Lee VA 23801-1717 |
| Mailing Address |
577 Sternberg Ave Fort Eustis VA 23604-1526 |
| Practice Telephone | 4357645125 |
| Mailing Telephone | 4357645125 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401413421 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104361989 | Chad Erickson | Counselor | 304 W Pacific Ave Ste 210, Spokane, WA 99201-4320 | 2017-01-03 |
| 1386879617 | Chad Erickson | Psychiatry & Neurology | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2009-05-15 |
| Street Address |
2601 C AVE |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892775 | Sloan Gardiner Lanctot | Dentist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2006-04-25 |
| 1770075772 | Amy S Woodfin | Dental Assistant | 2601 C Ave, Fort Lee, VA 23801-1717 | 2018-06-05 |
| 1457871097 | Jason J Hwang | Dentist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2017-06-25 |
| 1245783620 | Alisha Holmes | Dental Hygienist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2016-08-02 |
| 1295185734 | Antinia Day | Dental Hygienist | 2601 C Ave, Building 8204, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1902256589 | Thomas Rhinesmith | Dental Hygienist | 2601 C Ave, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1043660590 | Julliam Dones | Dental Hygienist | 2601 C Ave, Building 8204, Fort Lee, VA 23801-1717 | 2016-06-15 |
| 1497036529 | Kenner Army Health Clinic | Clinic/Center | 2601 C Ave, Tmc 2 Bld T8204, Fort Lee, VA 23801-1717 | 2011-09-02 |
| 1689879330 | Kenner Army Health Clinic | Clinic/Center | 2601 C Ave, Fort Lee, VA 23801-1717 | 2007-06-20 |
| 1992762249 | Michael Francis Larrimore | Dentist | 2601 C Ave, Us Army Dental Clinic Command, Fort Lee, VA 23801-1717 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214072 | Ji Yen Suh | Dentist | 1600 Parker Ave Apt 16f, Fort Lee, NJ 07024-7006 | 2018-05-06 |
| 1538697081 | Christine Chun | Dentist | 1636 Parker Ave Fl 2, Fort Lee, NJ 07024-6926 | 2017-05-29 |
| 1366890642 | Fort Lee Smiles | Dentist | 1530 Palisade Ave Ste 101, Fort Lee, NJ 07024-5470 | 2016-05-27 |
| 1720440415 | Maria Apergis | Dentist | 1515 Palisade Ave, Fort Lee, NJ 07024-5345 | 2016-03-22 |
| 1821471897 | Igor Igdalev | Dentist | 1625 Anderson Ave Ste 202, Fort Lee, NJ 07024-2748 | 2015-07-08 |
| 1316351364 | Ana Kim | Dentist | 2077 Center Ave Apt 9f, Fort Lee, NJ 07024-4903 | 2014-06-18 |
| 1942579768 | Francis Sangik Han | Dentist | 158 English St Unit A, Fort Lee, NJ 07024-6904 | 2011-12-22 |
| 1538334867 | Byongyool Alan Kim | Dentist | 891 Palisade Ave, Fort Lee, NJ 07024-4122 | 2008-04-28 |
| 1598937609 | Sherif S Radwan | Dentist | 1585 Palisade Ave, Fort Lee, NJ 07024-6931 | 2008-03-28 |
| 1578754008 | Mina Kim | Dentist | 328 Bridge Plz N Apt 1h, Fort Lee, NJ 07024-5013 | 2007-08-08 |
| Find all providers in FORT LEE | ||||
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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.