Heather C.C. Eggenberger, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60084768 Issued in WA

Practice address

3125 Colby Ave Ste D
Everett, WA 98201-4032

Phone

(360) 259-4156

Fax

(360) 259-4017

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heather Eggenberger DDS PLLC

  dba Colby Pacific Family Dentistry

  • Dental Clinic/Center
  • Everett, WA
  • NPI 1114358686
  NPD (past) Authorized official
• S. Russell & Russell, PLLC

  • Dentist
  • Tumwater, WA
  • NPI 1548416159
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1699925099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "360-259-4156",
            "fax_number": "360-259-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "360-259-4156",
            "fax_number": "360-259-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGENBERGER",
        "first_name": "HEATHER",
        "middle_name": "C.C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60084768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Edwards, MD
• Julea Edwards, P.T.
• Nancy Edwards, RN
• Judith Effenberger
• Kelly Ann Egan, BS, MA
• Laura Ann Ehling
• Emma Ehrlich, Ba, AAC-R
• Karis Eikenberry, DPT
• Eileen F. Bernat, PH.D., P.S.
• Teresa Eilers

• Dentist in Everett, WA
• Providers in Everett, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.

Verify at the official NPI Registry.