Active NPI
Eric Daniels, DDS
- General Practice Dentistry
- Eureka, MT
National Provider Identifier
1619004017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1831
- Practice address
- 744 US Highway 93 N
Eureka, MT 59917-9054 - Phone
- (406) 297-2461
- Fax
- (406) 297-2650
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1831 | MT | Primary |
Addresses
Primary practice location
744 US Highway 93 N
Eureka, MT 59917-9054
Mailing address
744 US Highway 93 N
Eureka, MT 59917-9054
Phone (406) 297-2461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164643367 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 30, 2016 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1831 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1619004017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 US HIGHWAY 93 N",
"city": "EUREKA",
"state": "MT",
"postal_code": "599179054",
"telephone_number": "406-297-2461",
"fax_number": "406-297-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 US HIGHWAY 93 N",
"city": "EUREKA",
"state": "MT",
"postal_code": "599179054",
"telephone_number": "406-297-2461",
"fax_number": "406-297-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164643367",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eureka, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.