Active NPI
Darnell Gregory, D.D.S.
- General Practice Dentistry
- Concord, NC
National Provider Identifier
1003262940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13496
- Practice address
- 8815 Christenbury Pkwy Ste 40
Concord, NC 28027-0261 - Phone
- (704) 264-0253
- NPI assigned
- May 10, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN1001584 | DC | |
| Dentist | 122300000X | DGD.10229 | SC | |
| General Practice Dentistry | 1223G0001X | 13496 | NC | Primary |
Addresses
Primary practice location
8815 Christenbury Pkwy Ste 40
Concord, NC 28027-0261
Mailing address
8815 Christenbury Pkwy Ste 40
Concord, NC 28027-0261
Phone (704) 264-0253
Other practice location 1
7826 Eastern Ave NW
301
Washington, DC 20012-1324
Phone (202) 726-5106
Other practice location 2
2298 Cherry Rd
Rock Hill, SC 29732
Phone (803) 980-7937
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 |
|---|---|---|---|
| DEN1001584 | DC | MD | Dentist |
| DGD.10229 | SC | MD | Dentist |
| 13496 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alagic Franklin DMD PC | General Practice | Current | Accepting new patients |
| A Great Smile Dental Care PLLC | Dentist | Past | Accepting new patients |
| A Great Smile Dental Center LLC | Dentist | Past | Accepting new patients |
Locations
8815 Christenbury Pkwy
Ste 40
Concord, NC 28027
Phone (704) 264-0253
Networks
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Concord, NC
- NPI 1912698903
-
- Dentist
- Washington, DC
- NPI 1811188014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1003262940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8815 CHRISTENBURY PKWY STE 40",
"city": "CONCORD",
"state": "NC",
"postal_code": "280270261",
"telephone_number": "704-264-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8815 CHRISTENBURY PKWY STE 40",
"city": "CONCORD",
"state": "NC",
"postal_code": "280270261",
"telephone_number": "704-264-0253"
}
],
"practiceLocations": [
{
"address_1": "7826 Eastern Ave NW",
"address_2": "301",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200121324",
"country_code": "US",
"telephone_number": "202-726-5106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2298 Cherry Rd",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "29732",
"country_code": "US",
"telephone_number": "803-980-7937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "DARNELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1001584",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10229",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.