Active NPI
Edward H. Eiland Jr., D.D.S.
- General Practice Dentistry
- Delhi, LA
National Provider Identifier
1902824741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- LA 2279
- 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.
-
- Dental Clinic/Center
- Delhi, LA
- NPI 1447529946
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160407000002 | LA | Order and Referring Only - Oral Surgery | 3375841356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2279 | LA | MD | Clinical Social Worker |
| LA 2279 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward H Eiland Jr DDS LTD | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | LA 2279 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1822795 | Medicaid | LA | |
| 2279LA | Other | LA | DELTA DENTAL OF CALIFORNI |
Other names 1
NPPES NPI Registry- Edward H. Eiland Jr.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.