NPIMap

Organization Active NPI

Eissens Dentistry

  • Dentist
  • Morrisville, NC
National Provider Identifier
1750799698
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8386 Issued in NC
Legal business name
EISSENS DENTISTRY
Practice address
1004 Lower Shiloh Way Ste 103
Morrisville, NC 27560-5426
Phone
(919) 472-0910
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Ms. Stephanie EissensNPI 1457555849
Title
Owner
Phone
(919) 472-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8386 NC Primary

Addresses

Primary practice location

1004 Lower Shiloh Way Ste 103
Morrisville, NC 27560-5426

Mailing address

1004 Lower Shiloh Way Ste 103
Morrisville, NC 27560-5426
Phone (919) 472-0910

National Provider Directory

National Provider Directory
Tax ID family
Eissens Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1004 Lower Shiloh Way
Ste 103
Morrisville, NC 27560
Phone (919) 472-0910

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1750799698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LOWER SHILOH WAY STE 103",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605426",
            "telephone_number": "919-472-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LOWER SHILOH WAY STE 103",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605426",
            "telephone_number": "919-472-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISSENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "EISSENS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-472-0910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.