Organization Active NPI

Robert W. Eisberg II, DDS, PA

  • General Practice Dentistry
  • Garner, NC
National Provider Identifier
1053579458
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8267 Issued in NC
Legal business name
ROBERT W. EISBERG II, DDS, PA
Practice address
2630 Timber Dr
Garner, NC 27529-2571
Phone
(919) 878-1810
Fax
(919) 878-1840
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Robert William Eisberg II, DDS
Title
President/Owner
Phone
(919) 878-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8267 NC Primary

Addresses

Primary practice location

2630 Timber Dr
Garner, NC 27529-2571

Mailing address

2630 Timber Dr
Garner, NC 27529-2571
Phone (919) 878-1810

Other names 1

  • Atlantic Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2630 Timber Dr
Garner, NC 27529
Phone (336) 287-4607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1053579458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292571",
            "telephone_number": "919-878-1810",
            "fax_number": "919-878-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292571",
            "telephone_number": "919-878-1810",
            "fax_number": "919-878-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. EISBERG II, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "EISBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-878-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.