Active NPI
Megan Michelle Eitemiller, DDS
- Dentist
- Crawford, NE
National Provider Identifier
1952893786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7478
- Practice address
- 705 1St St
Crawford, NE 69339-1186 - Phone
- (308) 665-2025
- NPI assigned
- Jun 6, 2018
- Last updated
- Jun 6, 2018
- Sex
- Female
- 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 | 7478 | NE | Primary |
Addresses
Primary practice location
705 1St St
Crawford, NE 69339-1186
Mailing address
PO Box 488
Crawford, NE 69339-0488
Phone (308) 665-2025
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin Moody PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1952893786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "CRAWFORD",
"state": "NE",
"postal_code": "693390488",
"telephone_number": "308-665-2025",
"fax_number": "308-665-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 1ST ST",
"city": "CRAWFORD",
"state": "NE",
"postal_code": "693391186",
"telephone_number": "308-665-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EITEMILLER",
"first_name": "MEGAN",
"middle_name": "MICHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawford, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.