Active NPI
Evelyn Eckert, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Whippany, NJ
National Provider Identifier
1508298696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI01533100
- Practice address
- 12 Troy Hills Rd
2ND Floor
Whippany, NJ 07981-1538 - Phone
- (973) 952-1005
- Fax
- (973) 884-4002
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI01533100 | NJ | Primary |
Addresses
Primary practice location
12 Troy Hills Rd
2ND Floor
Whippany, NJ 07981-1538
Mailing address
12 Troy Hills Rd
2ND Floor
Whippany, NJ 07981-1538
Phone (973) 952-1005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01533100 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1508298696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TROY HILLS RD",
"address_2": "2ND FLOOR",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811538",
"telephone_number": "973-952-1005",
"fax_number": "973-884-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TROY HILLS RD",
"address_2": "2ND FLOOR",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811538",
"telephone_number": "973-952-1005",
"fax_number": "973-884-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI01533100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.