Individual provider Active NPI

Evan R Eisler, DMD

  • General Practice Dentistry
  • Narberth, PA
National Provider Identifier
1487035671
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02630700 Issued in NJ
Practice address
632 Montgomery Ave Ste 2
Narberth, PA 19072-2000
Phone
(610) 664-6061
Fax
(610) 664-5293
NPI assigned
Jun 12, 2015
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040705 PA
General Practice Dentistry 1223G0001X 22DI02630700 NJ Primary

Addresses

Primary practice location

632 Montgomery Ave Ste 2
Narberth, PA 19072-2000

Mailing address

632 Montgomery Ave Ste 2
Narberth, PA 19072-2000
Phone (610) 664-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 11, 2022 through Oct 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02630700NJMDGeneral Practice Dentistry
DS040705PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pennington Dental Associates LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1487035671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVE STE 2",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722000",
            "telephone_number": "610-664-6061",
            "fax_number": "610-664-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVE STE 2",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722000",
            "telephone_number": "610-664-6061",
            "fax_number": "610-664-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISLER",
        "first_name": "EVAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02630700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

Verify at the official NPI Registry.