Kayla Renee Eggenberger, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

21540 Issued in TX

Practice address

4250 S Clear Creek Rd
#213
Fort Hood, TX 76544

Phone

(254) 285-2014

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Renee Jansen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1295205169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 STATE SCHOOL RD",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282927",
            "telephone_number": "719-640-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S CLEAR CREEK RD",
            "address_2": "#213",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-285-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGENBERGER",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "21540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "JANSEN",
            "middle_name": "RENEE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keiko Eberhard, LMT
• Janet Marie Eberhardt, CERTIFIED NURSE MIDW
• Dena Nicole Edmondson, LCSW
• Brittany Iresha Edwards, CNM, WHNP
• Jessika Lee Edwards, LVN
• Mark Andrew Elefante
• Arne Holger Eliasson II, MD
• Nathan Elliott, DDS
• Lucinda Ellis, RN
• Stephen David Ellwood, PHARM.D.

• Dental Hygienist in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.