Organization Active NPI

Eberhardt & Eberhardt D.M.D., PC

  • General Practice Dentistry
  • East Stroudsburg, PA
National Provider Identifier
1073655502
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EBERHARDT & EBERHARDT D.M.D., PC
Practice address
739 Milford Rd
East Stroudsburg, PA 18301-1307
Phone
(570) 424-2445
Fax
(570) 424-2276
NPI assigned
Feb 13, 2007
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Dr. August Alan Eberhardt, D.M.D.NPI 1366584898
Title
President
Phone
(570) 424-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

739 Milford Rd
East Stroudsburg, PA 18301-1307

Mailing address

739 Milford Rd
East Stroudsburg, PA 18301-1307
Phone (570) 424-2445

National Provider Directory

National Provider Directory

Locations

739 Milford Rd
East Stroudsburg, PA 18301
Phone (570) 421-3007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1073655502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011307",
            "telephone_number": "570-424-2445",
            "fax_number": "570-424-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011307",
            "telephone_number": "570-424-2445",
            "fax_number": "570-424-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERHARDT & EBERHARDT D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-424-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.