Individual provider Active NPI

Edward H. Eiland Jr., D.D.S.

  • General Practice Dentistry
  • Delhi, LA
National Provider Identifier
1902824741
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA 2279 Issued in LA
Practice address
206 Nevada St
Delhi, LA 71232-3100
Phone
(318) 878-2411
Fax
(318) 878-2414
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20160407000002 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375841356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2279LAMDClinical Social Worker
LA 2279LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Edward H Eiland Jr DDS LTD Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LA 2279 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

206 Nevada St
Delhi, LA 71232-3100

Mailing address

206 Nevada St
Delhi, LA 71232-3100
Phone (318) 878-2411

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1822795MedicaidLA
2279LAOtherLADELTA DENTAL OF CALIFORNI

Other names 1

NPPES NPI Registry
  • Edward H. Eiland Jr. Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902824741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NEVADA ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323100",
            "telephone_number": "318-878-2411",
            "fax_number": "318-878-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NEVADA ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323100",
            "telephone_number": "318-878-2411",
            "fax_number": "318-878-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILAND",
        "first_name": "EDWARD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA 2279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822795",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CALIFORNI",
            "identifier": "2279LA",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "EILAND",
            "middle_name": "H.",
            "suffix": "JR.",
            "credential": "D.D.S.,LTD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.