Active NPI
Adam Jeffery Eichler, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Biloxi, MS
National Provider Identifier
1124465265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4396-23
- Practice address
- 301 Fisher St
Keesler Air Force Base
Biloxi, MS 39534 - Phone
- (210) 722-7168
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039580 | PA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS039580 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4396-23 | MS | Primary |
Addresses
Primary practice location
301 Fisher St
Keesler Air Force Base
Biloxi, MS 39534
Mailing address
2121 Whitney Oaks Dr
Ocean Springs, MS 39564-6060
Phone (210) 722-7168
Other practice location 1
PSC 9 Box 3875
Apo, AE 09123-0039
Phone (301) 452-6027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612003185 | AL | Order and Referring Only - Oral Surgery | 7214448752 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039580 | PA | MD | Dentist |
| 4396-23 | MS | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7418 | AL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1124465265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 WHITNEY OAKS DR",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395646060",
"telephone_number": "210-722-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"address_2": "KEESLER AIR FORCE BASE",
"city": "BILOXI",
"state": "MS",
"postal_code": "39534",
"telephone_number": "210-722-7168"
}
],
"practiceLocations": [
{
"address_1": "PSC 9 Box 3875",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "091230039",
"country_code": "US",
"telephone_number": "301-452-6027",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "EICHLER",
"first_name": "ADAM",
"middle_name": "JEFFERY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039580",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS039580",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MS",
"license": "4396-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.