James Elliott Gregory Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.10371 Issued in SC

Practice address

1812 Wallace School Rd
Charleston, SC 29407-4515

Phone

(843) 571-4411

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1003525833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 WIREGRASS RD",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077800",
            "telephone_number": "803-487-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 WALLACE SCHOOL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074515",
            "telephone_number": "843-571-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JAMES",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foundationdentalpartners.com",
            "affiliation": "Y",
            "affiliationName": "Foundation Dental Partners South Carolina PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1812 Wallace School Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wayne Gregg
• Amy Gregorie
• Carolyn Reeves Gregorie, MD
• Arica Jordan Gregory, MD
• Charlotte Gregory, RBT
• James Lewis Gregory, MD
• Margaret Katherine Gregory
• Sheila Gregory
• Timothy James Durkan Gregory, MD
• Benjamin Greif, M.D.

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.