David J Engelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

024430 Issued in NY

Practice address

1579 Brentwood Rd
Bay Shore, NY 11706-3225

Phone

(631) 665-8484

Fax

(631) 665-3953

NPI assigned

Mar 17, 2010

Last updated

Mar 17, 2010By 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

Medicare enrollment (NPD)

Not 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.

• Robert Ecker DDS David J Engelson DDS PC

  • Dentist
  • Bay Shore, NY
  • NPI 1528020583
  NPD (past) Authorized official
• Madison Dental Management Associates LLC

  dba Bay Dental Health

  • Dental Clinic/Center
  • Bay Shore, NY
  • NPI 1356876460
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1669796835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063225",
            "telephone_number": "631-665-8484",
            "fax_number": "631-665-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063225",
            "telephone_number": "631-665-8484",
            "fax_number": "631-665-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELSON",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "024430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Beast Nutrition LLC
• Empowered Beast Nutrition LLC
• Jay Brian Enden, MD
• Alane Margaret Eng
• Laurence A Engelberg, MD
• Merril Englert
• Mary M. Epstein, COTA
• Sandra Erickson, LCSW
• Adriane Velasquez Escudero, M.S., M.A., B.S.
• David N Escudero, OTR/L

• General Practice Dentistry in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.