Andrew W. Engel, D.M.D. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7476 Issued in OR

Practice address

930 SW Yates Dr
Bend, OR 97702-3204

Phone

(541) 617-1351

NPI assigned

Sep 20, 2005

Reactivated

Mar 29, 2006

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OR

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)

Enrolled

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.

• Living Dental Health LLC

  • General Practice Dentistry
  • Bend, OR
  • NPI 1700144870
  Authorized official Same address or phone

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1417943010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SW YATES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023204",
            "telephone_number": "541-617-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW YATES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023204",
            "telephone_number": "541-617-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "ANDREW",
        "middle_name": "W.",
        "credential": "D.M.D. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encore Equipment
• Endeavor Chiropractic, LLC
• Endocrinology Services Northwest, LLC
• Tara Michelle Endries, L.M.T. , A.T.C.
• Nancy E Endter, PT
• Kelley Grace Engel
• Matthew B Engel, DMD
• Kaylee N Engelder, MS
• Benjamin T England, M.D.
• English 2 Spanish LLC

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.