Individual provider Active NPI

Melissa Marie Eberts, D.D.S.

  • Dentist
  • Dickinson, ND
National Provider Identifier
1326354499
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2078 Issued in ND
Practice address
669 12TH St W
Dickinson, ND 58601-3554
Phone
(701) 483-4746
Fax
(701) 486-2273
NPI assigned
Aug 26, 2010
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2078 ND Primary
Public Health Dentistry 1223D0001X 2078 ND

Addresses

Primary practice location

669 12TH St W
Dickinson, ND 58601-3554

Mailing address

669 12TH St W
Dickinson, ND 58601-3554
Phone (701) 483-4746

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
2078NDMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Dental 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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1326354499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 12TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013554",
            "telephone_number": "701-483-4746",
            "fax_number": "701-486-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 12TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013554",
            "telephone_number": "701-483-4746",
            "fax_number": "701-486-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERTS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2078",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "ND",
            "license": "2078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.