Jennifer Jo Eckmann, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11348 Issued in MN

Practice address

106 E James St
Paynesville, MN 56362-1615

Phone

(320) 243-4434

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dan Eckmann DDS, Inc

  • General Practice Dentistry
  • Paynesville, MN
  • NPI 1578894366
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386795185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563620245",
            "telephone_number": "320-243-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621615",
            "telephone_number": "320-243-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMANN",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Davis, PHARMD
• Melissa Lynn Dols, RD, LD, CDE
• Jennifer Dean Dwyer, PA
• Eagan Eye Clinic LLC
• Dan Eckmann, DDS
• Fischer Laser Eye Center, LLC (Family Eye Center)
• Lauren A Foster
• Robert N Gardner, M.D.
• Alicia M. Glimsdal, APRN, CNP
• Dodi Greeley, LADC

• Dentist in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.