Active NPI
Greg Wayne Egbert, M.D.
- Dentist
- Woodstock, AL
National Provider Identifier
1609967959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- LNO 5506
- Practice address
- 20036 Highway 11
Woodstock, AL 35188-3733 - Phone
- (205) 938-9727
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | LNO 5506 | AK | Primary |
Addresses
Primary practice location
20036 Highway 11
Woodstock, AL 35188-3733
Mailing address
20036 Highway 11
Woodstock, AL 35188-3733
Phone (205) 938-9727
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LNO 5506 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Rock Dentistry | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Woodstock, AL
- NPI 1801043708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609967959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20036 HIGHWAY 11",
"city": "WOODSTOCK",
"state": "AL",
"postal_code": "351883733",
"telephone_number": "205-938-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20036 HIGHWAY 11",
"city": "WOODSTOCK",
"state": "AL",
"postal_code": "351883733",
"telephone_number": "205-938-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBERT",
"first_name": "GREG",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "LNO 5506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.