Individual provider Active NPI

Eugene Sibal, D.M.D

  • Dentist
  • Powdersville, SC
National Provider Identifier
1427460047
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8375 Issued in SC
Practice address
132 McNeely Rd
Powdersville, SC 29673-9430
Phone
(864) 509-0040
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8375 SC Primary

Addresses

Primary practice location

132 McNeely Rd
Powdersville, SC 29673-9430

Mailing address

132 McNeely Rd
Powdersville, SC 29673-9430
Phone (864) 509-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150722006265 SC Order and Referring Only - DentistPractitioner - Dentist 8921311713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of SC, PC PastSince Dec 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1427460047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MCNEELY RD",
            "city": "POWDERSVILLE",
            "state": "SC",
            "postal_code": "296739430",
            "telephone_number": "864-509-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MCNEELY RD",
            "city": "POWDERSVILLE",
            "state": "SC",
            "postal_code": "296739430",
            "telephone_number": "864-509-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBAL",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powdersville, SC

Sources for this page

Verify at the official NPI Registry.