Individual provider Active NPI

Erin Egan, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1053011031
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39661 Issued in TX
Practice address
11841 Alamo Ranch Pkwy Ste 106
San Antonio, TX 78253-4185
Phone
(210) 495-2000
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 39661 TX Primary

Addresses

Primary practice location

11841 Alamo Ranch Pkwy Ste 106
San Antonio, TX 78253-4185

Mailing address

9610 Hayden Sedge
San Antonio, TX 78254-2298
Phone (224) 639-9177

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

LicenseStateTypeSpecialty
39661TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Ranch 7To7 PLLC CurrentSince Jul 23, 2023 Accepting new patients
Ortho 7To7 PLLC PastSince Jul 23, 2023 Accepting new patients

Locations

11841 Alamo Ranch Pkwy
Ste 106
San Antonio, TX 78253

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1053011031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 HAYDEN SEDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542298",
            "telephone_number": "224-639-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 ALAMO RANCH PKWY STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534185",
            "telephone_number": "210-495-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "ERIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.