DR. ERIC DALE NORDSTROM DDS
NPI 1972549145
Dentist in Willmar, MN

Active since June 22, 2006PECOS Enrolled
309 LAKELAND DRIVE SE, SUITE 1, WILLMAR, MN 56201(320) 235-1075(320) 235-1079 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eric Dale Nordstrom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC DALE NORDSTROM DDS (NPI 1972549145) is an individual dentist in Willmar, Minnesota, licensed in Minnesota (D10397) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972549145
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ERIC DALE NORDSTROMCredential: DDS
Location Address309 LAKELAND DRIVE SE, SUITE 1Willmar, MN 56201-4099
Mailing Address309 Lakeland Drive Se, Suite 1Willmar, MN 56201-4099 · (320) 235-1075 · Fax (320) 235-1079
Fax(320) 235-1079
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972549145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D10397
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
309 LAKELAND DRIVE SE, Willmar, MN 56201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eric Dale Nordstrom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Nordstrom's NPI number?

The NPI number for Eric Nordstrom is 1972549145. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Eric Nordstrom located?

Eric Nordstrom practices at 309 Lakeland Drive SE Suite 1, Willmar, MN 56201. The listed phone number is (320) 235-1075.

What is Eric Nordstrom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Eric Nordstrom enrolled in Medicare?

Yes. Eric Nordstrom is registered in the Medicare PECOS enrollment system.

What insurance does Eric Nordstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Eric Nordstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Nordstrom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.