Kirk F. Engel, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

007384 Issued in CT

Practice address

314 Flanders Rd
Ste 1B
East Lyme, CT 06333-1710

Phone

(860) 739-3133

Fax

(860) 739-3131

NPI assigned

Jun 16, 2005

Last updated

Apr 28, 2008By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 6, 2012 through Dec 6, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Lyme Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lyme, CT
  • NPI 1205906369
  NPD (past) Authorized official
• Connecticut Oral Surgery and Implant Center, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • East Lyme, CT
  • NPI 1053951350
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1659376507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FLANDERS RD",
            "address_2": "SUITE 1B",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331727",
            "telephone_number": "860-739-3133",
            "fax_number": "860-739-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FLANDERS RD",
            "address_2": "STE 1B",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331710",
            "telephone_number": "860-739-3133",
            "fax_number": "860-739-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KIRK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "007384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Robert E. Levin
• James Anthony Dyer, DMD
• East Lyme Board of Ed
• East Lyme Oral and Maxillofacial Surgery
• Elevating Wellness LLC
• Richard Dale England, M.D., PH.D.
• Stefania Falvo, OTR/L
• Peter John Famiglietti, MD
• Nancy B. Field, LCSW
• James R Fillion, RPH

• Oral and Maxillofacial Surgery (Dentist) in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.