Active NPI
Allison Cavenaugh Eggleston, D.D.S., M.S.
- Pediatric Dentistry
- Bladenboro, NC
National Provider Identifier
1285863266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8836
- Practice address
- 104 Fourth St
Bladenboro, NC 28320-9407 - Phone
- (919) 923-9881
- NPI assigned
- Jul 10, 2009
- Last updated
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8836 | NC | Primary |
Addresses
Primary practice location
104 Fourth St
Bladenboro, NC 28320-9407
Mailing address
136 Driftwood CT
Wrightsville Beach, NC 28480-1713
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8836 | NC | MD | Occupational Therapy Assistant |
Interoperability endpoints
- aeggleston1245540@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1285863266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 DRIFTWOOD CT",
"city": "WRIGHTSVILLE BEACH",
"state": "NC",
"postal_code": "284801713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FOURTH ST",
"city": "BLADENBORO",
"state": "NC",
"postal_code": "283209407",
"telephone_number": "919-923-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "ALLISON",
"middle_name": "CAVENAUGH",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bladenboro, NC
- Coastal Southeastern United Care LLC
- Donald Benton Helms (Bladenboro Eye Clinic)
- Michal Paul Dove
- Dr. Kim's Adult Clinic, PLLC
- Crystal Edwards, P.A.-C
- Family Alternatives, Inc (Millbranch Group Home)
- Fuller & Associates VI PLLC
- Gate Way Health Care Associates LLC
- Gate Way Health Care Associates LLC
- Anita Gibson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.