Active NPI
Eric Daniels DDS
- General Practice Dentistry
- Whitefish, MT
National Provider Identifier
1417177635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1831
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113516 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Eric Daniels DDS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Eureka, MT
- NPI 1164643367
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.
-
- General Practice Dentistry
- Whitefish, MT
- NPI 1760504484
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.