Matthew Thomas Eggenberger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4080 Issued in AR

Practice address

3001 Horizon Dr
Bryant, AR 72022-9162

Phone

(501) 847-1022

NPI assigned

Jan 10, 2011

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 AR

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

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

• Richardson & Monroe, DDS, PA

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1902841364
  NPD (past)
• Saline Dental Group

  • General Practice Dentistry
  • Bryant, AR
  • NPI 1679632871
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1144524810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HORIZON DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229162",
            "telephone_number": "501-847-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HORIZON DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229162",
            "telephone_number": "501-847-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGENBERGER",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Dykes, LMSW
• Isabella Marie Eastham
• Meredith Eckert
• Alyssa Nicole Edwards
• Vanessa Edwards
• Elder Independence (Eihc LLC)
• Rischaye Lynette Ellington
• Katherine White Elliott, O.T.R./L.
• Jennifer Lynn Embry, LCSW
• Eric Sharks DDS PLLC

• General Practice Dentistry in Bryant, AR
• Providers in Bryant, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.