Active NPI
Hafsteinn Eggertsson, DDS, MSD, PHD
- Dentist
- Eugene, OR
National Provider Identifier
1831402916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9442
- Practice address
- 2703 Delta Oaks Dr
Eugene, OR 97408-1700 - Phone
- (541) 683-5108
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9442 | OR | Primary |
Addresses
Primary practice location
2703 Delta Oaks Dr
Eugene, OR 97408-1700
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150610001827 | OR | Order and Referring Only - Dentist | 8729309182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9442 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1831402916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 NE CAMPUS WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 DELTA OAKS DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974081700",
"telephone_number": "541-683-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGERTSSON",
"first_name": "HAFSTEINN",
"name_prefix": "Dr.",
"credential": "DDS, MSD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.