Individual provider Active NPI

Adam Jeffery Eichler, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Biloxi, MS
National Provider Identifier
1124465265
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4396-23 Issued in MS
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

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612003185 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214448752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039580PAMDDentist
4396-23MSMDOral and Maxillofacial Surgery (Dentist)
7418ALMDPharmacotherapy 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

Verify at the official NPI Registry.