Active NPI
Tonya Lynn Egloff, DDS
- General Practice Dentistry
- Wichita Falls, TX
National Provider Identifier
1629366281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24780
- Practice address
- 2211 Midwestern Pkwy
Suite 5
Wichita Falls, TX 76308-2300 - Phone
- (940) 692-0321
- Fax
- (940) 696-5039
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24780 | TX | Primary |
Addresses
Primary practice location
2211 Midwestern Pkwy
Suite 5
Wichita Falls, TX 76308-2300
Mailing address
2211 Midwestern Pkwy
Suite 5
Wichita Falls, TX 76308-2300
Phone (940) 692-0321
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
- Opted out of Medicare
- Yes, effective Feb 23, 2017 through Feb 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24780 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1629366281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 MIDWESTERN PKWY",
"address_2": "SUITE 5",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082300",
"telephone_number": "940-692-0321",
"fax_number": "940-696-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MIDWESTERN PKWY",
"address_2": "SUITE 5",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082300",
"telephone_number": "940-692-0321",
"fax_number": "940-696-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLOFF",
"first_name": "TONYA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.