Active NPI
Gregory Allen Schrumpf, DDS,FAGD
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1922033380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54-1667864
- Practice address
- 1300 Kempsville Rd Ste 1
Virginia Beach, VA 23464-6199 - Phone
- (757) 467-8181
- Fax
- (757) 467-1330
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 54-1667864 | VA | Primary |
Addresses
Primary practice location
1300 Kempsville Rd Ste 1
Virginia Beach, VA 23464-6199
Mailing address
1313 Links CT
Chesapeake, VA 23320-9450
Phone (757) 436-2641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817475 | Other | PA | UNITED CONCORDIA COMPANIE |
| 020196 | Other | VA | UNITED CONCORDIA COMPANIE |
| 088615 | Other | VA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54-1667864 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922033380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 LINKS CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233209450",
"telephone_number": "757-436-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 KEMPSVILLE RD STE 1",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646199",
"telephone_number": "757-467-8181",
"fax_number": "757-467-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRUMPF",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS,FAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "54-1667864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA COMPANIE",
"identifier": "817475",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA COMPANIE",
"identifier": "020196",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "088615",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.