Active NPI
Gary Ross Eggler, D.M.D.
- Periodontics
- Indiana, PA
National Provider Identifier
1013350057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS020691L
- Practice address
- 850 Hospital Rd
Suite 1100
Indiana, PA 15701-3662 - Phone
- (724) 349-9220
- Fax
- (724) 349-9221
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS020691L | PA | Primary |
Addresses
Primary practice location
850 Hospital Rd
Suite 1100
Indiana, PA 15701-3662
Mailing address
850 Hospital Rd
Suite 1100
Indiana, PA 15701-3662
Phone (724) 349-9220
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 |
|---|---|---|---|
| DS020691L | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary R Eggler DMD PC | Periodontics | Past | Accepting new patients |
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.
-
- Periodontics
- Indiana, PA
- NPI 1003825589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1013350057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HOSPITAL RD",
"address_2": "SUITE 1100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013662",
"telephone_number": "724-349-9220",
"fax_number": "724-349-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HOSPITAL RD",
"address_2": "SUITE 1100",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013662",
"telephone_number": "724-349-9220",
"fax_number": "724-349-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLER",
"first_name": "GARY",
"middle_name": "ROSS",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS020691L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.