DR. KATIE A EGBERT (NPI# 1437380177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437380177 |
Entity Type | Individual |
Full Name | DR. KATIE A EGBERT |
Credential | DMD |
Practice Address |
1 Jarrett White Road Bldg 320, Krukowski St. Us Army Dental Activity Hi Tripler Amc HI 96859-5000 |
Mailing Address |
4021 W Rue De Lamour Ave Phoenix AZ 85029-1050 |
Practice Telephone | 8084336959 |
Mailing Telephone | 2147841655 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2018-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 7821 | AZ | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7821 | AZ | Dental Providers |
Street Address |
1 JARRETT WHITE ROAD BLDG 320, KRUKOWSKI ST. US ARMY DENTAL ACTIVITY HI |
City | TRIPLER AMC |
State | HI |
Zip Code | 96859-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
Find all providers in zip 96859 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447237672 | Randall Neal Ball | Dentist | 1 Jarrett White Road, Attn: Mcds-nh Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5000 | 2005-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598304198 | Malama Dental 4 Kids, LLC | Dentist | 275 Ponahawai St Ste 204, Hilo, HI 96720-3074 | 2019-12-30 |
1518457001 | William Jeffrey Keeton | Dentist | 75-1028 Henry St Ste 102, Kailua Kona, HI 96740-1693 | 2018-05-10 |
1043744170 | Smiles for Keiki Pediatric Dentistry, LLC | Dentist | 77-135 Kalaniuka St, Holualoa, HI 96725-9729 | 2017-04-15 |
1184179350 | Patricia Sanchez Puche | Dentist | 3-3359 Kuhio Hwy, Lihue, HI 96766-1061 | 2016-08-17 |
1215481379 | Dean T. Sueda, D.d.s., M.s. Inc | Dentist | 1020 Kakala St, 801, Kapolei, HI 96707-4546 | 2016-08-06 |
1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
1184046716 | Keiki Dental Specialists | Dentist | 1302 Moanalualani Ct Apt D, Honolulu, HI 96819-1221 | 2014-01-16 |
1578999025 | Ronald Hirata | Dentist | 75-5845 Alii Dr, Kailua Kona, HI 96740-1329 | 2013-09-16 |
1861734774 | Thomas Matthew Griffith | Dentist | 2530 Kilauea Ave, Hilo, HI 96720-5613 | 2013-03-19 |
1902152713 | Michelle S. Chung | Dentist | 4211 Waialae Ave Ste 405, Honolulu, HI 96816-5317 | 2012-07-30 |
Find all providers with the same taxonomy |
City | TRIPLER AMC |
Zip Code | 96859 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.