Organization Active NPI

Allison C. Eggleston, DDS, PC

Doing business as Dr. Egg Pediatric Dentistry

  • Dental Clinic/Center
  • Wilmington, NC
National Provider Identifier
1417397365
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8836 Issued in NC
Legal business name
ALLISON C. EGGLESTON, DDS, PC
Doing business as
Dr. Egg Pediatric Dentistry
Practice address
6781 Parker Farm Dr
Suite 100
Wilmington, NC 28405-3160
Phone
(910) 795-2511
Fax
(910) 679-4835
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Allison Cavenaugh Eggleston, DDS, MS
Title
Owner, Pediatric Dentist
Phone
(910) 520-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8836 NC Primary

Addresses

Primary practice location

6781 Parker Farm Dr
Suite 100
Wilmington, NC 28405-3160

Mailing address

6781 Parker Farm Dr
Suite 100
Wilmington, NC 28405-3160
Phone (910) 795-2511

Other identifiers 2

IdentifierTypeStateIssuer
1285863266OtherNCINDIVIDUAL NPI
5921214MedicaidNC

Other names 1

  • Dr. Egg Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6781 Parker Farm Dr
Ste 100
Wilmington, NC 28405
Phone (910) 795-2511

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1417397365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053160",
            "telephone_number": "910-795-2511",
            "fax_number": "910-679-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053160",
            "telephone_number": "910-795-2511",
            "fax_number": "910-679-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON C. EGGLESTON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "CAVENAUGH",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "910-520-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285863266",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921214",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Egg Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.