Eckart Dental Center, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D9527 Issued in MN

Legal business name

ECKART DENTAL CENTER, LLC

Practice address

300 1St Avenue E
Shakopee, MN 55379-1444

Phone

(952) 445-1352

Fax

(952) 445-7221

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David C. Eckart, DDS

Title

Dentist

Phone

(952) 445-1352

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1972995587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVENUE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791444",
            "telephone_number": "952-445-1352",
            "fax_number": "952-445-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST AVENUE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791444",
            "telephone_number": "952-445-1352",
            "fax_number": "952-445-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKART DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ECKART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "952-445-1352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849675700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.