Gregory A Pucel, D D S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13772 Issued in MO

Practice address

510 Baxter Rd
Suite # 3
Chesterfield, MO 63017-7032

Phone

(636) 391-1911

Fax

(636) 391-0629

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Row Pucel LLC

  • General Practice Dentistry
  • Chesterfield, MO
  • NPI 1235351503
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295952356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD",
            "address_2": "SUITE # 3",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-391-1911",
            "fax_number": "636-391-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD",
            "address_2": "SUITE # 3",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-391-1911",
            "fax_number": "636-391-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCEL",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prorehab PC
• Prorehab, PC
• Nicolette Prosser, FNP
• Provide Dental
• Provide Dental
• Cara Pulcher, COTA
• Pulmonary Health Solutions LLC
• Scott H Purvines, M.D.
• Jonathan R. Pyle, DMD
• Mohammad Asif Qaisrani, M.D.

• General Practice Dentistry in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.