Active NPI
Vonnie Eaton, DDS
- Dentist
- Burnsville, MN
National Provider Identifier
1326486556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13226
- Practice address
- 50 W Nicollet Blvd
Burnsville, MN 55337-4524 - Phone
- (952) 435-8525
- NPI assigned
- Jun 10, 2013
- Sex
- Female
- 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 | D13226 | MN | Primary |
Addresses
Primary practice location
50 W Nicollet Blvd
Burnsville, MN 55337-4524
Mailing address
50 W Nicollet Blvd
Burnsville, MN 55337-4524
Phone (952) 435-8525
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 |
|---|---|---|---|---|
| I20160115001064 | MN | Order and Referring Only - Dentist | 6305149899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1326486556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374524",
"telephone_number": "952-435-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374524",
"telephone_number": "952-435-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "VONNIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.