Norman Vernon Eid, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9269 Issued in MN

Practice address

515 Delaware St SE
Department of Oral Radiology
Minneapolis, MN 55455-0357

Phone

(612) 625-5642

NPI assigned

Mar 1, 2012

Last updated

Mar 7, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053685560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 MEDICINE RIDGE RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414621",
            "telephone_number": "763-545-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "DEPARTMENT OF ORAL RADIOLOGY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-625-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "NORMAN",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF DENTISRY",
            "identifier": "D9269",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica A Eichhof, MPT
• Christina Ann Eichstadt, PA-C
• Morgan Eick, PHARMD
• Bridget Eickhoff, LPCC
• Kelly S Eickhoff
• Kristin Marie Eide, D.O.
• Michael Eide
• Russell Eide, PA-C
• Jay Henry Eidem, PHARMD
• Keith E Eidman, DO

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.