Eric D. Dant, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00030830 Issued in WA

Practice address

850 Maple Street
Eastern State Hospital
Medical Lake, WA 99022-0800

Phone

(509) 565-4000

Fax

(509) 565-4705

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spokane Behavioral Health LLC

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1932698107
  Medicare reassignment NPD
• Columbia Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Kennewick, WA
  • NPI 1811946056
  NPD (past)
• Department of Social

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1144295080
  NPD (past)
• Eastern State Hospital Pharmacy

  • Long Term Care Pharmacy
  • Medical Lake, WA
  • NPI 1679651970
  NPD (past)
• Okanogan Emergency Physicians

  • Emergency Medicine Physician
  • Omak, WA
  • NPI 1366491508
  NPD (past)
• Washington Em-I Medical Services PC

  • Emergency Medicine Physician
  • Omak, WA
  • NPI 1275582413
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1699746404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "address_2": "EASTERN STATE HOSPITAL",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220800",
            "telephone_number": "509-565-4000",
            "fax_number": "509-565-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAPLE STREET",
            "address_2": "EASTERN STATE HOSPITAL",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220800",
            "telephone_number": "509-565-4000",
            "fax_number": "509-565-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANT",
        "first_name": "ERIC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00030830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOUNDARY COMMUNITY HOSP",
            "identifier": "806187300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806187300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "8147910",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8147910",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Crisp Jr., D.O.
• Stanley Todd Crocker, RD
• Erica Dawn Curless, LMT
• Evangeline V Dacanay, MD
• Jamie Lynn Damon, LMT
• Mark P. Dartley, PA-C
• Denham H Davis
• Jennifer Lynn Deal
• Department of Social Dept of SHS Div of Instns
• Wendy Cargile Dickerson

• Family Medicine Physician in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.