Active NPI
Gregory Thomas Engel, DMD, MS
- Endodontics
- Virginia Beach, VA
National Provider Identifier
1962482323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401411234
- Practice address
- 1432 N Great Neck Rd
Suite 102
Virginia Beach, VA 23454-1342 - Phone
- (757) 486-7857
- Fax
- (757) 486-7857
- NPI assigned
- Jan 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401411234 | VA | Primary |
| Endodontics | 1223E0200X | DS030278L | PA |
Addresses
Primary practice location
1432 N Great Neck Rd
Suite 102
Virginia Beach, VA 23454-1342
Mailing address
343 Naples CT
Chesapeake, VA 23322-8378
Phone (757) 389-5686
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS030278L | PA | MD | Endodontist |
| 0401411234 | VA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory T. Engel, DMD, Ms, PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962482323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 NAPLES CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233228378",
"telephone_number": "757-389-5686",
"fax_number": "757-389-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 N GREAT NECK RD",
"address_2": "SUITE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541342",
"telephone_number": "757-486-7857",
"fax_number": "757-486-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401411234",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS030278L",
"primary": false
}
],
"identifiers": [],
"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.