Individual provider Active NPI

Alexandra Engel, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenville, MS
National Provider Identifier
1023723624
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4157-20 Issued in MS
Practice address
843 S Main St
Greenville, MS 38701-5871
Phone
(662) 378-8645
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4157-20 MS Primary

Addresses

Primary practice location

843 S Main St
Greenville, MS 38701-5871

Mailing address

843 S Main St
Greenville, MS 38701-5871
Phone (662) 378-8645

Other practice location 1

816 E Sunflower Rd
Cleveland, MS 38732-2824
Phone (662) 843-7730

Other practice location 2

102 E Lee Dr
Suite B
Clarksdale, MS 38614
Phone (662) 627-2666

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4157-20MSMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra L Engel, DMD, Ms, PC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 22, 2023 Accepting new patients

Locations

843 S Main St
Greenville, MS 38701
Phone (662) 378-8645

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1023723624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-378-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-378-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 E Sunflower Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322824",
            "country_code": "US",
            "telephone_number": "662-843-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Lee Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "38614",
            "country_code": "US",
            "telephone_number": "662-627-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "ALEXANDRA",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "4157-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.