Kenneth Leon Egger Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016479 Issued in MI

Practice address

900 E Bellows St
Mount Pleasant, MI 48858-3904

Phone

(989) 773-3560

Fax

(989) 773-9081

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth L Egger Jr DDS PC

  • General Practice Dentistry
  • Mt Pleasant, MI
  • NPI 1316063803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114936754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BELLOWS ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583904",
            "telephone_number": "989-773-3560",
            "fax_number": "989-773-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BELLOWS ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583904",
            "telephone_number": "989-773-3560",
            "fax_number": "989-773-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGER",
        "first_name": "KENNETH",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arshia Ebrahimi, LP
• Emily Taylor Edel
• Edify Behavioral Applications LLC
• Utibe Effiong, MBBCH
• Ryan Robert Egeler, BEHAVIOR ASSISTANT
• Steve Eggerd, RPH
• Morgan Eisenga
• Deborah Lynn Eisenmann, MD
• Elaine Walcott LMSW PLLC
• Craig A Elford, MSPT, OMPT, CSCS

• General Practice Dentistry in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.