Karen E. Eggleston, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13102 Issued in MI

Practice address

17070 W. Twevle Mile Road
Ste. C
Southfield, MI 48076-2116

Phone

(248) 395-4700

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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 MI

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.

• Cody Dental Center P.C.

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1255482659
  NPD (past) Authorized official
• Wolverine Cosmetic Dental L.L.C

  • Dentist
  • Southfield, MI
  • NPI 1881859239
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770611006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20071 CAROL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351654",
            "telephone_number": "313-342-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 W. TWEVLE MILE ROAD",
            "address_2": "STE. C",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762116",
            "telephone_number": "248-395-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "KAREN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Edwards
• Wanda E Edwards, NP
• Anita Effinger, FNP
• Arthur A Efros, M.D.
• Theresa I Egan, PHD
• Jonathan Patrick Egle, M.D.
• Brenda Ehrke
• Jeffrey Michael Eichenlaub, MSN. APRN, FNP-C
• Lawrence Mark Eilender, MD
• Ariana Nicole Eitrem, MA, NCC

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• 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.