Organization Active NPI

Eggert Family Dentistry, PA

  • General Practice Dentistry
  • North Oaks, MN
National Provider Identifier
1912050683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11799 Issued in MN
Legal business name
EGGERT FAMILY DENTISTRY, PA
Practice address
700 Village Center Dr
Suite 160
North Oaks, MN 55127-3019
Phone
(651) 482-8412
Fax
(651) 482-8376
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Christine Eggert, D.D.S.NPI 1306838230
Title
President
Phone
(651) 482-8412

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
General Practice Dentistry 1223G0001X D11799 MN Primary

Addresses

Primary practice location

700 Village Center Dr
Suite 160
North Oaks, MN 55127-3019

Mailing address

700 Village Center Dr
Suite 160
North Oaks, MN 55127-3019
Phone (651) 482-8412

National Provider Directory

National Provider Directory

Locations

700 Village Center Dr
Ste 160
North Oaks, MN 55127
Phone (651) 482-8412

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912050683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "SUITE 160",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-482-8412",
            "fax_number": "651-482-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE CENTER DR",
            "address_2": "SUITE 160",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273019",
            "telephone_number": "651-482-8412",
            "fax_number": "651-482-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGERT FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-482-8412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.