ERICA BALBUENA TAPIA DMD
NPI 1770078719
Dentist - General Practice in Washington, NC

Active since June 22, 2018PECOS Enrolled
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889(252) 940-0602 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erica Balbuena Tapia Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA BALBUENA TAPIA DMD (NPI 1770078719) is an individual general practice provider in Washington, North Carolina, licensed in North Carolina (11091) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770078719
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameERICA BALBUENA TAPIACredential: DMD
Location Address120 W MARTIN LUTHER KING JR DRWashington, NC 27889-4906
Mailing AddressPo Box 113Falkland, NC 27827-0113 · (252) 227-3187
Sole ProprietorYes
Enumeration DateJune 22, 2018
NPI 1770078719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 11091
Definition
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.
120 W MARTIN LUTHER KING JR DR, Washington, NC 27889

Other Identifiers 1

Other11091NC · Dental License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Erica Balbuena Tapia Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27889 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Family)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Counselor (Addiction (Substance Use Disorder))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Nurse Practitioner (Family)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Clinic/Center (Federally Qualified Health Center (FQHC))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Social Worker (Clinical)
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889
Clinic/Center (Federally Qualified Health Center (FQHC))
120 W MARTIN LUTHER KING JR DR
WASHINGTON, NC 27889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Balbuena Tapia's NPI number?

The NPI number for Erica Balbuena Tapia is 1770078719. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Erica Balbuena Tapia located?

Erica Balbuena Tapia practices at 120 W Martin Luther King Jr Dr, Washington, NC 27889. The listed phone number is (252) 940-0602.

What is Erica Balbuena Tapia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Erica Balbuena Tapia enrolled in Medicare?

Yes. Erica Balbuena Tapia is registered in the Medicare PECOS enrollment system.

What insurance does Erica Balbuena Tapia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Erica Balbuena Tapia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erica Balbuena Tapia was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.