Individual provider Active NPI

Mary J. Egan, D.D.S.

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1831239417
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16326 Issued in FL
Practice address
5911 N Honore Ave Ste 222
Sarasota, FL 34243-2657
Phone
(941) 587-6828
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16326 FL Primary

Addresses

Primary practice location

5911 N Honore Ave Ste 222
Sarasota, FL 34243-2657

Mailing address

5911 N Honore Ave Ste 222
Sarasota, FL 34243-2657
Phone (941) 587-6828

Other practice location 1

5714 21st Ave W
Children's Dentistry of Manatee
Bradenton, FL 34209-5606
Phone (941) 792-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16326FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1831239417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE STE 222",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432657",
            "telephone_number": "941-587-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE STE 222",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432657",
            "telephone_number": "941-587-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5714 21st Ave W",
            "address_2": "Children's Dentistry of Manatee",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095606",
            "country_code": "US",
            "telephone_number": "941-792-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "MARY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.