Eric Alan Page, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13276 Issued in MN

Practice address

1550 Adams St
Mankato, MN 56001-5192

Phone

(507) 387-2603

NPI assigned

Jun 21, 2013

Last updated

Jun 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Oz Family Dentistry, P.C.

  • General Practice Dentistry
  • Mankato, MN
  • NPI 1962525261
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1023457280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015192",
            "telephone_number": "507-387-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015192",
            "telephone_number": "507-387-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Pace, CNP
• Celeste Brianne Pacheco
• Frank John Pacovsky, AU.D.
• Roxanna Lynne Padilla, RD, LD
• Abigail Christine Page
• Sarah Page, DC
• Megan R Pahl, LPCC
• Pain Centers of Minnesota-Mankato, LLC
• Abby Jo Palmer
• Randall Keith Palmer, M.ED, A.T.C.

• General Practice Dentistry in Mankato, MN
• Providers in Mankato, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.