Donald W. Eblen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009288A Issued in IN

Practice address

1015 Professional Blvd
Evansville, IN 47714-8010

Phone

(812) 437-1015

Fax

(812) 401-1013

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thomas J. Salmon Other name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Merit Dentistry of Indiana, PC

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1811311525
  NPD (past)
• River Bend Dental Group

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1881970424
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720126352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148010",
            "telephone_number": "812-437-1015",
            "fax_number": "812-401-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148010",
            "telephone_number": "812-437-1015",
            "fax_number": "812-401-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLEN",
        "first_name": "DONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009288A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SALMON",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Easter Seals Rehabilitation Center, Inc.
• Easter Seals Rehabilitation Center, Inc.
• Alissa D. Eastham, LCSW
• Michael Ray Eatmon, LCSW
• April M Ebert, PT
• Echo Community Health Care Inc
• Echo Community Health Care, Inc
• Echo Community Health Care, Inc.
• Echo Community Health Care, Inc.
• Echo Community Health Care, Inc.

• General Practice Dentistry in Evansville, IN
• Providers in Evansville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.