Edward George Geisel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC5590 Issued in NC

Practice address

201 Neill LN
East Bend, NC 27018

Phone

(336) 699-8001

Fax

(336) 699-5030

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 NC

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward G Geisel DDS PLLC

  • General Practice Dentistry
  • East Bend, NC
  • NPI 1669682159
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730280488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "201 NEILL LANE",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "27018",
            "telephone_number": "336-699-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEILL LN",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "27018",
            "telephone_number": "336-699-8001",
            "fax_number": "336-699-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISEL",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curiosity Therapy, PLLC
• Edward G Geisel DDS PLLC
• Eos Pelvic Health and Wellness LLC
• Gaston Family Health Services Inc (Kintegra at Forbush High School)
• Gaston Family Health Services, Inc. (Kintegra at Forbush Middle)
• Sherye Moore Hall, SPEECH PATHOLOGIST
• Crystal D Helmeid, LMBT
• Katrina Johnson
• Lindsee Mae Kyles, MSW, LCSWA
• Jeda Charlise Lee, LCSW-A

• General Practice Dentistry in East Bend, NC
• Providers in East Bend, NC by specialty
• General Practice Dentistry in North Carolina

• 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.
• 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.