DR. KOLTON KEVIN ERICKSON (NPI# 1770893414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770893414 |
| Entity Type | Individual |
| Full Name | DR. KOLTON KEVIN ERICKSON |
| Credential | DMD |
| Practice Address |
5818 Nw 50th St Ste 100 Oklahoma City OK 73122-5121 |
| Mailing Address |
908 Nw 185th St Edmond OK 73012-1227 |
| Practice Telephone | 4052270054 |
| Mailing Telephone | (435) 279-3332 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 10313 | CO | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6912 | OK | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1329 | WY | Dental Providers |
| Street Address |
5818 NW 50TH ST STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73122-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1700446259 | T&r Services, Inc. | In Home Supportive Care | 3844 N. Macarthur Blvd, Warr Acres, OK 73122 | 2019-06-17 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1598279374 | Sikirat Iyanda | Case Manager/Care Coordinator | 5317 Willow Cliff Rd Apt 137, Okc, OK 73122 | 2017-11-30 |
| 1841650827 | Victoria Ekwueme | Counselor | 6421 Nw 36th Street, Oklahoma City, OK 73122 | 2016-03-03 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1356623482 | Jerry Skariah George | Pharmacist | 5901 Nw 39th Expressway, Warr Acres, OK 73122 | 2011-09-14 |
| 1306134366 | Chelsea Nicole Haller | Physical Therapist | 5604 N.w. 41st, Suite 220, Oklahoma City, OK 73122 | 2011-07-12 |
| 1972824886 | Katrina Renee Klohn | Counselor | 5612 Nw 62nd St., Okc, OK 73122 | 2010-06-15 |
| 1205039377 | Larry L Winnard | Specialist/Technologist | 5300 N. W. 50th, Okla. City, OK 73122 | 2007-06-07 |
| Find all providers in zip 73122 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| 1396993051 | Melissa Leann Farrow | Dentist | 8301 S. Walker, Suite 103, Oklahoma City, OK 73139-9449 | 2008-09-05 |
| 1861611535 | Mark L Youngker | Dentist | 4401 W Memorial Rd Ste 113, Oklahoma City, OK 73134-1722 | 2007-04-24 |
| 1538212766 | Ou Graduate Orthodontics | Dentist | 1201 N Stonewall, Room 442, Oklahoma City, OK 73117-1214 | 2007-01-19 |
| 1659437234 | Marlo Anneene Miller | Dentist | 3501 Nw 50th St, Oklahoma City, OK 73112-5603 | 2006-12-28 |
| 1366513699 | Jeffrey Todd Cohlmia | Dentist | 13313 North Meridian, Suite D4, Oklahoma City, OK 73120-8380 | 2006-11-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73122 |
Please comment or provide details below to improve the information on DR. KOLTON KEVIN 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.