Organization Active NPI

Eagles Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Pottstown, PA
National Provider Identifier
1811528870
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EAGLES ORAL SURGERY
Practice address
1867 E High St
Pottstown, PA 19464-3294
Phone
(484) 773-1717
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Megan Shank
Title
Quality Control Manager
Phone
(610) 372-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1867 E High St
Pottstown, PA 19464-3294

Mailing address

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (484) 773-1717

Other practice location 1

5500 Perkiomen Ave
Reading, PA 19606-3634
Phone (484) 773-1717

Other practice location 2

620 Kenhorst Plz
Reading, PA 19607-3648
Phone (484) 773-1717

Other practice location 3

1425 Penn Ave
Wyomissing, PA 19610-2133
Phone (484) 773-1717

Other practice location 4

1001 S 4th St
Hamburg, PA 19526-9211
Phone (484) 773-1717

Other practice location 5

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (484) 773-1717

Other practice location 6

4744 Penn Ave
Sinking Spring, PA 19608-9672
Phone (484) 773-1717

Other practice location 7

2810 Dekalb Pike
East Norriton, PA 19401-1823
Phone (484) 773-1717

Other practice location 8

1037 E Philadelphia Ave
Gilbertsville, PA 19525-9516
Phone (484) 773-1717

Other practice location 9

247 Schuylkill Rd
Phoenixville, PA 19460-1879
Phone (484) 773-1717

Other practice location 10

1030 Lititz Pike
Lititz, PA 17543-9328
Phone (484) 773-1717

Other practice location 11

221 Rohrerstown Rd
Lancaster, PA 17603-2230
Phone (484) 773-1717

Other practice location 12

5106 Allentown Pike
Temple, PA 19560-1212
Phone (484) 773-1717

National Provider Directory

National Provider Directory
Tax ID family
Eagles Oral Surgery14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

221 Rohrerstown Rd
Lancaster, PA 17603
Phone (717) 293-7822

1867 E High St
Pottstown, PA 19464
Phone (610) 327-0888

620 Kenhorst Plz
Reading, PA 19607
Phone (610) 777-8888

4744 Penn Ave
Sinking Spring, PA 19608
Phone (610) 670-9322

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1811528870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102140",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643294",
            "telephone_number": "484-773-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Perkiomen Ave",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196063634",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Kenhorst Plz",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196073648",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196102133",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "PA",
            "postal_code": "195269211",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196102140",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4744 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Sinking Spring",
            "state": "PA",
            "postal_code": "196089672",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194011823",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1037 E Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Gilbertsville",
            "state": "PA",
            "postal_code": "195259516",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Schuylkill Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194601879",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Lititz Pike",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439328",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Rohrerstown Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032230",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5106 Allentown Pike",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "PA",
            "postal_code": "195601212",
            "country_code": "US",
            "telephone_number": "484-773-1717",
            "fax_number": "484-773-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLES ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "QUALITY CONTROL MANAGER",
        "authorized_official_telephone_number": "610-372-6313"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.