Individual provider Active NPI

Donald V Eckels, DDS

  • Dentist
  • Edina, MN
National Provider Identifier
1184620007
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8843 Issued in MN
Practice address
3300 Edinborough Way
Ste 203
Edina, MN 55435-5958
Phone
(952) 893-0400
Fax
(952) 893-3840
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8843 MN Primary

Addresses

Primary practice location

3300 Edinborough Way
Ste 203
Edina, MN 55435-5958

Mailing address

3300 Edinborough Way
Ste 203
Edina, MN 55435-5958
Phone (952) 893-0400

Other identifiers 1

IdentifierTypeStateIssuer
03904ECOtherMNBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8843MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184620007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "STE 203",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355958",
            "telephone_number": "952-893-0400",
            "fax_number": "952-893-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "STE 203",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355958",
            "telephone_number": "952-893-0400",
            "fax_number": "952-893-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELS",
        "first_name": "DONALD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "03904EC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.