Individual provider Active NPI

Gregory L Garro, DDS

  • Dentist
  • Omaha, NE
National Provider Identifier
1013012350
Registry record updated Aug 15, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5751 Issued in NE
Practice address
3525 N 147TH St
Suite 213
Omaha, NE 68116-8262
Phone
(402) 493-8900
Fax
(402) 933-2957
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5751 NE Primary
Dentist 122300000X 7490 IA

Addresses

Primary practice location

3525 N 147TH St
Suite 213
Omaha, NE 68116-8262

Mailing address

3525 N 147TH St
Suite 213
Omaha, NE 68116-8262
Phone (402) 493-8900

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
7490IAMDDentist
5751NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
SS Green & Dentistry Associates LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1013012350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 N 147TH ST",
            "address_2": "SUITE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168262",
            "telephone_number": "402-493-8900",
            "fax_number": "402-933-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 N 147TH ST",
            "address_2": "SUITE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168262",
            "telephone_number": "402-493-8900",
            "fax_number": "402-933-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRO",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5751",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.