Individual provider Active NPI

Dick Nathan Einerson, DMD

  • Dentist
  • Montezuma Creek, UT
National Provider Identifier
1003307802
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10850096-9922 Issued in UT
Practice address
East Hwy 262
Montezuma Creek, UT 84511
Phone
(435) 651-3700
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10850096-9922 UT Primary

Addresses

Primary practice location

East Hwy 262
Montezuma Creek, UT 84511

Mailing address

311 N 400 W
Blanding, UT 84511-4115
Phone (435) 485-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712002881 UT Order and Referring Only - DentistPractitioner - Dentist 1254687775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients

Networks

  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: dick.einerson.1@16299.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1003307802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 400 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845114115",
            "telephone_number": "435-485-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST HWY 262",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "84511",
            "telephone_number": "435-651-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINERSON",
        "first_name": "DICK",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10850096-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma Creek, UT

Sources for this page

Verify at the official NPI Registry.