Individual provider Active NPI

Erich Lloyd Eichwald, DDS

  • Dentist
  • Rochester, MN
National Provider Identifier
1316555121
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14434 Issued in MN
Practice address
973 Skyline Dr SW
Rochester, MN 55902-1220
Phone
(507) 424-1040
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14434 MN Primary

Addresses

Primary practice location

973 Skyline Dr SW
Rochester, MN 55902-1220

Mailing address

3066 River Falls Rd NW
Rochester, MN 55901-5550
Phone (815) 603-4605

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14434MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Dental PastSince Jul 27, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1316555121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 RIVER FALLS RD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015550",
            "telephone_number": "815-603-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 SKYLINE DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021220",
            "telephone_number": "507-424-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHWALD",
        "first_name": "ERICH",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.