Individual provider Active NPI

Gregory Allen Schrumpf, DDS,FAGD

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1922033380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54-1667864 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
817475OtherPAUNITED CONCORDIA COMPANIE
020196OtherVAUNITED CONCORDIA COMPANIE
088615OtherVABLUE 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

LicenseStateTypeSpecialty
54-1667864VAMDGeneral 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.

Verify at the official NPI Registry.