Active NPI
Gregory Albert Gorga, DDS
- Dentist
- Royal Oak, MI
National Provider Identifier
1013106780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10284
- Practice address
- 1010 N Campbell Rd
Suite 2
Royal Oak, MI 48067-1570 - Phone
- (248) 541-3636
- Fax
- (248) 547-7066
- NPI assigned
- Oct 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10284 | MI | Primary |
Addresses
Primary practice location
1010 N Campbell Rd
Suite 2
Royal Oak, MI 48067-1570
Mailing address
1010 N. Campbell Rd.
Suite 2
Royal Oak, MI 48067
Phone (248) 541-3636
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 |
|---|---|---|---|
| 10284 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Weitzman,DPM PC | 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.
-
- Foot Surgery Podiatrist
- Royal Oak, MI
- NPI 1417122573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1013106780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N. CAMPBELL RD.",
"address_2": "SUITE 2",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48067",
"telephone_number": "248-541-3636",
"fax_number": "248-547-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N CAMPBELL RD",
"address_2": "SUITE 2",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671570",
"telephone_number": "248-541-3636",
"fax_number": "248-547-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORGA",
"first_name": "GREGORY",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "10284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.