Michael David Eggnatz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN11741 Issued in FL

Practice address

17190 Royal Palm Blvd
Suite #4
Weston, FL 33326

Phone

(954) 217-8888

Fax

(954) 349-8520

NPI assigned

Feb 26, 2007

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 FL

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

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265568786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 ROYAL PALM BLVD",
            "address_2": "SUITE #4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-217-8888",
            "fax_number": "954-349-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17190 ROYAL PALM BLVD",
            "address_2": "SUITE #4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-217-8888",
            "fax_number": "954-349-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGNATZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga L. Echeverria, MD
• Eduardo J Mila Prats MD, PA.
• Daniela Edwards, ARNP
• Melissa Edwards, APRN
• Edwin a. Gomez MD PA
• Lindsay Blake Eichner
• Franklin Eidelman, M.D.
• Eilyn Rivero DDS PA
• Majed El Hechi, MD
• Tarik Elarini, M.D.

• Dentist in Weston, FL
• Providers in Weston, FL by specialty
• Dentist in Florida

• 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.
• 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.