Active NPI
Daniel P Eulberg, DDS
- Dentist
- Minnetonka, MN
National Provider Identifier
1275570772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9180
- Practice address
- 17909 Hwy 7
Minnetonka, MN 55345 - Phone
- (952) 474-7057
- Fax
- (952) 401-1698
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9180 | MN | Primary |
Addresses
Primary practice location
17909 Hwy 7
Minnetonka, MN 55345
Mailing address
17909 Hwy 7
Minnetonka, MN 55345
Phone (952) 474-7057
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181022000519 | MN | Order and Referring Only - Dentist | 8628321635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boger-Tri Dental, P.L.L.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275570772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17909 HWY 7",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-474-7057",
"fax_number": "952-401-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17909 HWY 7",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-474-7057",
"fax_number": "952-401-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EULBERG",
"first_name": "DANIEL",
"middle_name": "P",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "9180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.