Individual provider Active NPI

Gregory Robert Sopel, DMD

  • Dentist
  • Horseshoe Bay, TX
National Provider Identifier
1417095738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22169 Issued in TX
Practice address
420A Hi Circle South
Horseshoe Bay, TX 78657
Phone
(830) 598-5474
Fax
(830) 596-9054
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22169 TX Primary

Addresses

Primary practice location

420A Hi Circle South
Horseshoe Bay, TX 78657

Mailing address

PO Box 8450
Horseshoe Bay, TX 78657
Phone (830) 598-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160426001065 TX Order and Referring Only - DentistPractitioner - Dentist 5496054413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22169TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory R Sopel DMD PC PastSince Aug 15, 2005 Accepting new patients
Stop Snoring Sleep Solutions Past Accepting new patients

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417095738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8450",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "78657",
            "telephone_number": "830-598-5474",
            "fax_number": "830-596-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420A HI CIRCLE SOUTH",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "78657",
            "telephone_number": "830-598-5474",
            "fax_number": "830-596-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPEL",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bay, TX

Sources for this page

Verify at the official NPI Registry.