Gary Eggleston, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

08284 Issued in IA

Practice address

2550 Middle Rd Ste 101
Bettendorf, IA 52722-3298

Phone

(563) 209-9041

Fax

(563) 209-9042

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Corridor Endodontics LLC

  • Endodontics
  • North Liberty, IA
  • NPI 1033724679
  NPD Authorized official
• Riverbend Endodontics, P.C.

  • Endodontics
  • Bettendorf, IA
  • NPI 1083018840
  NPD (past) Authorized official
• Riverbend Endodontics

  • Dental Clinic/Center
  • Bettendorf, IA
  • NPI 1043761398
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1912949595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 101",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223298",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 101",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223298",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08284",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "08284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ryan Edens
• Shannon Dawn Edmond, ARNP
• Eduardo L Ricaurte MD
• Andrew D Edwards, MD
• Kelli Edwards, OTD
• Jessica Lee Ehlers, FNP
• Kayla Leigh Ehrman, D.O.
• Callina Nicole Elgar, D.O.
• Elite Health Systems Inc
• Elite Health Systems Inc

• Endodontics in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.