Organization Active NPI

Eric Daniels DDS

  • General Practice Dentistry
  • Whitefish, MT
National Provider Identifier
1417177635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1831 Issued in MT
Legal business name
ERIC DANIELS DDS
Practice address
401 Baker Ave
Whitefish, MT 59937-0517
Phone
(406) 862-3503
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Daniels, DDS
Title
Owner
Phone
(406) 297-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1831 MT Primary

Addresses

Primary practice location

401 Baker Ave
Whitefish, MT 59937-0517

Mailing address

401 Baker Ave
PO Box 517
Whitefish, MT 59937-0517
Phone (406) 862-3503

Other identifiers 1

IdentifierTypeStateIssuer
0113516MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Eric Daniels DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 Baker Ave
Whitefish, MT 59937
Phone (406) 862-3503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417177635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BAKER AVE",
            "address_2": "PO BOX 517",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599370517",
            "telephone_number": "406-862-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599370517",
            "telephone_number": "406-862-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC DANIELS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-297-2461",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113516",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.