Individual provider Active NPI

Jan E Faulk Eggleston, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chapel Hill, NC
National Provider Identifier
1144301904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
NC0080 Issued in NC
Practice address
Unc Department of Oral Maxillofacial Surgery
115 Brauer Hall, CB 7450
Chapel Hill, NC 27599-7450
Phone
(919) 966-1126
Fax
(919) 966-6019
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NC0080 NC Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X TX12004 TX

Addresses

Primary practice location

Unc Department of Oral Maxillofacial Surgery
115 Brauer Hall, CB 7450
Chapel Hill, NC 27599-7450

Mailing address

Unc Department of Oral Maxillofacial Surgery
115 Brauer Hall, CB 7450
Chapel Hill, NC 27599-7450
Phone (919) 966-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC0080NCMDOral and Maxillofacial Surgery (Dentist)
TX12004TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Past Accepting new patients
University of North Carolina at Chapel Hill Oral and Maxillofacial Surgery PastSince Feb 14, 1996 Accepting new patients
Unc Oral & Maxillofacial Pathology Laboratory Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144301904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC DEPARTMENT OF ORAL MAXILLOFACIAL SURGERY",
            "address_2": "115 BRAUER HALL, CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-966-1126",
            "fax_number": "919-966-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC DEPARTMENT OF ORAL MAXILLOFACIAL SURGERY",
            "address_2": "115 BRAUER HALL, CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-966-1126",
            "fax_number": "919-966-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK EGGLESTON",
        "first_name": "JAN",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "NC0080",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "TX12004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.