Active NPI
Daniel T Norris, DDS
- General Practice Dentistry
- Eureka, NV
National Provider Identifier
1487674552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5699
- Practice address
- 250 South Main Street
Eureka, NV 89316-0586 - Phone
- (775) 237-7778
- Fax
- (775) 237-7779
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3816 | ID | |
| General Practice Dentistry | 1223G0001X | 5699 | NV | Primary |
Addresses
Primary practice location
250 South Main Street
Eureka, NV 89316-0586
Mailing address
PO Box 586
Eureka, NV 89316-0586
Phone (775) 237-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6N011 | Other | ID | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D3816 | ID | MD | General Practice Dentistry |
| 5699 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1487674552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 586",
"city": "EUREKA",
"state": "NV",
"postal_code": "893160586",
"telephone_number": "775-237-7778",
"fax_number": "775-237-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SOUTH MAIN STREET",
"city": "EUREKA",
"state": "NV",
"postal_code": "893160586",
"telephone_number": "775-237-7778",
"fax_number": "775-237-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "DANIEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3816",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6N011",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.