Individual provider Active NPI

Eliahu Shaul Regev, DMD

  • Periodontics
  • Greensboro, NC
National Provider Identifier
1043136690
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0314 Issued in NC
Practice address
2002 Pisgah Church Rd Ste 101
Greensboro, NC 27455-3308
Phone
(336) 271-7900
NPI assigned
Jun 27, 2026
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0314 NC Primary

Addresses

Primary practice location

2002 Pisgah Church Rd Ste 101
Greensboro, NC 27455-3308

Mailing address

1906 Bloom St
Greensboro, NC 27410-3063
Phone (336) 841-9000

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

OrganizationSpecialtyStatusNew patients
Hpu Health LLC D/B/a Hpu Dental Specialists Periodontics PastSince Sep 21, 2025 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": "1782518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1043136690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLOOM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103063",
            "telephone_number": "336-841-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 PISGAH CHURCH RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553308",
            "telephone_number": "336-271-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGEV",
        "first_name": "ELIAHU",
        "middle_name": "SHAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "0314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.