Active NPI
Daniel J Enger Jr., DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pascagoula, MS
National Provider Identifier
1326159138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1923
- Practice address
- 4105 Hospital Street
Suite 101
Pascagoula, MS 39581-5312 - Phone
- (228) 762-4403
- Fax
- (228) 762-4409
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1923 | MS | Primary |
Addresses
Primary practice location
4105 Hospital Street
Suite 101
Pascagoula, MS 39581-5312
Mailing address
4105 Hospital Street
Suite 101
Pascagoula, MS 39581-5312
Phone (228) 762-4403
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4005902 | Other | TN | BCBS OF TN |
| 795890 | Other | MS | UNITED CONCORDIA |
| V01923 | Other | TX | BCBS OF TX |
| 730-12358 | Other | AL | BCBS OF AL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1923 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326159138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 HOSPITAL STREET",
"address_2": "SUITE 101",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815312",
"telephone_number": "228-762-4403",
"fax_number": "228-762-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 HOSPITAL STREET",
"address_2": "SUITE 101",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815312",
"telephone_number": "228-762-4403",
"fax_number": "228-762-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGER",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MS",
"license": "1923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4005902",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "795890",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "V01923",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "730-12358",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pascagoula, MS
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.