Active NPI
Alexandra Engel, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenville, MS
National Provider Identifier
1023723624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4157-20
- 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
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4157-20 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandra L Engel, DMD, Ms, PC | Orthodontics and Dentofacial Orthopedics | Current | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenville, MS
- NPI 1205860418
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.