Organization Active NPI

Heather Eggenberger DDS PLLC

  • Dental Clinic/Center
  • Everett, WA
National Provider Identifier
1114358686
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60084768 Issued in WA
Legal business name
HEATHER EGGENBERGER DDS PLLC
Practice address
3125 Colby Ave Ste D
Everett, WA 98201-4032
Phone
(360) 259-4156
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Heather Carrie Eggenberger, D.D.S.NPI 1699925099
Title
Owner/Dentist
Phone
(360) 259-4156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60084768 WA Primary

Addresses

Primary practice location

3125 Colby Ave Ste D
Everett, WA 98201-4032

Mailing address

3125 Colby Ave Ste D
Everett, WA 98201-4032
Phone (360) 259-4156

Other names 1

  • Colby Pacific Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3125 Colby Ave
Ste D
Everett, WA 98201
Phone (360) 259-4156

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": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1114358686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "360-259-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "360-259-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER EGGENBERGER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "EGGENBERGER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-259-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60084768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colby Pacific Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

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

Verify at the official NPI Registry.