Active NPI
Erik Davis, D.D.S.
- Dentist
- Eden Prairie, MN
National Provider Identifier
1801200654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13344
- Practice address
- 6608 Flying Cloud Dr
Eden Prairie, MN 55344-3381 - Phone
- (952) 903-5000
- Fax
- (952) 944-0642
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D13344 | MN | Primary |
Addresses
Primary practice location
6608 Flying Cloud Dr
Eden Prairie, MN 55344-3381
Mailing address
1790 7TH St E
Saint Paul, MN 55119-3419
Phone (952) 903-5000
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 |
|---|---|---|---|
| D13344 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Dentistry | Current | Accepting new patients | |
| Prairie Dental Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Woodbury, MN
- NPI 1982281879
-
- General Practice Dentistry
- Eden Prairie, MN
- NPI 1104057975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1801200654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 7TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551193419",
"telephone_number": "952-903-5000",
"fax_number": "952-944-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443381",
"telephone_number": "952-903-5000",
"fax_number": "952-944-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ERIK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.