NPIMap

Organization Active NPI

Eagles Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenixville, PA
National Provider Identifier
1164053054
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EAGLES ORAL SURGERY
Practice address
247 Schuylkill Rd
Phoenixville, PA 19460-1879
Phone
(484) 773-1717
Fax
(484) 773-1717
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Megan Shank
Title
Quality Control Manager
Phone
(610) 372-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

247 Schuylkill Rd
Phoenixville, PA 19460-1879

Mailing address

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (484) 773-1717

National Provider Directory

National Provider Directory
Tax ID family
Eagles Oral Surgery14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1164053054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102140",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SCHUYLKILL RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601879",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "QUALITY CONTROL MANAGER",
        "authorized_official_telephone_number": "610-372-6313"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.