Individual provider Active NPI

Eric Thomas Shugars, DDS, MS

  • Endodontics
  • Battle Creek, MI
National Provider Identifier
1407987878
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901016572 Issued in MI
Practice address
497 Columbia Ave E Ste 14
Battle Creek, MI 49014-5463
Phone
(269) 660-0747
Fax
(269) 441-2736
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901016572 MI Primary

Addresses

Primary practice location

497 Columbia Ave E Ste 14
Battle Creek, MI 49014-5463

Mailing address

497 Columbia Ave E Ste 14
Battle Creek, MI 49014-5463
Phone (269) 660-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170606000305 MI Order and Referring Only - DentistPractitioner - Dentist 9436478880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901016572MIMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1407987878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 COLUMBIA AVE E STE 14",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-660-0747",
            "fax_number": "269-441-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 COLUMBIA AVE E STE 14",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-660-0747",
            "fax_number": "269-441-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGARS",
        "first_name": "ERIC",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901016572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.