Active NPI
Eily Karen Cogan, DDS
- General Practice Dentistry
- Jacksonville, NC
National Provider Identifier
1679422901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14756
- Practice address
- 571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683 - Phone
- (910) 716-0101
- NPI assigned
- Jan 28, 2026
- Last updated
- Jun 5, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14756 | NC | Primary |
Addresses
Primary practice location
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Mailing address
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Phone (910) 716-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615001904 | NC | Order and Referring Only - Dentist | 7315419975 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14756 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xli DDS PA | 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": "1769558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1679422901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101",
"fax_number": "910-294-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGAN",
"first_name": "EILY",
"middle_name": "KAREN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-28",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "14756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.