DR. JONATHAN EAGLE D.D.S
NPI 1720261126
Dentist in Grand Rapids, MI

Q: What is Jonathan Eagle's NPI number?

The NPI number for Jonathan Eagle is 1720261126. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Q: What is Jonathan Eagle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Eagle was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2007PECOS Enrolled

1750 GRAND RIDGE COURT NE, SUITE 202, GRAND RAPIDS, MI 49525(616) 361-9330(616) 361-7095 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Jonathan Eagle D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN EAGLE D.D.S (NPI 1720261126) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (D156450) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720261126

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONATHAN EAGLECredential: D.D.S

Location Address1750 GRAND RIDGE COURT NE, SUITE 202Grand Rapids, MI 49525

Mailing Address1750 Grand Ridge Court Ne, Suite 202Grand Rapids, MI 49525 · (616) 361-9330 · Fax (616) 361-7095

Phone(616) 361-9330

Fax(616) 361-7095

Sole ProprietorYes

Enumeration DateDecember 10, 2007

Last NPPES UpdateNovember 22, 2023

✔ NPI 1720261126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · D156450

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1750 GRAND RIDGE COURT NE, Grand Rapids, MI 49525

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Eagle D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN D EAGLE DDS PC

Dentist

1750 GRAND RIDGE COURT NE, SUITE 202
GRAND RAPIDS, MI 49525

Kent County (616) 361-9330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Eagle's NPI number?

The NPI number for Jonathan Eagle is 1720261126. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Jonathan Eagle located?

Jonathan Eagle practices at 1750 Grand Ridge Court NE Suite 202, Grand Rapids, MI 49525. The listed phone number is (616) 361-9330.

What is Jonathan Eagle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jonathan Eagle enrolled in Medicare?

Yes. Jonathan Eagle is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Eagle accept?

Health plans from Delta Dental of Michigan list Jonathan Eagle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Eagle was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.