Organization Active NPI

Engelman&Froug PA

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1619144797
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10482 Issued in FL
Legal business name
ENGELMAN&FROUG PA
Doing business as
Seminole Dental
Practice address
11179 Park Blvd Ste 13
Seminole, FL 33772-4709
Phone
(727) 398-0085
Fax
(727) 397-1420
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Greg A. Engelman, DMD
Title
President
Phone
(727) 398-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10482 FL Primary

Addresses

Primary practice location

11179 Park Blvd Ste 13
Seminole, FL 33772-4709

Mailing address

11179 Park Blvd Ste 13
Seminole, FL 33772-4709
Phone (727) 398-0085

Other identifiers 1

IdentifierTypeStateIssuer
19OtherFLSINGLE SPECIALTY

Other names 1

  • Seminole Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11179 Park Blvd
Ste 13
Seminole, FL 33772
Phone (727) 398-0085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1619144797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11179 PARK BLVD STE 13",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724709",
            "telephone_number": "727-398-0085",
            "fax_number": "727-397-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11179 PARK BLVD STE 13",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724709",
            "telephone_number": "727-398-0085",
            "fax_number": "727-397-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGELMAN&FROUG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ENGELMAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-398-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "D10482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE SPECIALTY",
            "identifier": "19",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.