Gregory Pearce Thurston, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61788 Issued in CA

Practice address

1486 Palm St
San Luis Obispo, CA 93401-2938

Phone

(805) 543-8675

Fax

(805) 543-8696

NPI assigned

Nov 6, 2012

Last updated

Oct 5, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 3, 2015 through Sep 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gregory P. Thurston DDS, a Professional Corporation

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1730727884
  NPD Authorized official
• Ryan McCall, DDS, Inc.

  • Dental Clinic/Center
  • San Luis Obispo, CA
  • NPI 1326893090
  NPD
• Dan Copp, D.D.S., Inc.

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1588984470
  NPD (past)
• Ron Barbieri DDS, Inc

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1184887945
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1013261494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012938",
            "telephone_number": "805-543-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012938",
            "telephone_number": "805-543-8675",
            "fax_number": "805-543-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "GREGORY",
        "middle_name": "PEARCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hannah Thorson, DO
• Emily Lynn Threlkel
• Thrifty Payless Inc (Rite Aid Pharmacy 05822)
• Thrifty Payless Inc (Rite Aid Pharmacy 05820)
• Thrive San Luis Obispo
• Roseann Tibbs, RN/CNM/NP
• Tidelands Counseling
• Amy Valentine Tidik, MA,CCC-SP
• Julia Anne Tidik, PMHNP
• Stephen J Tidik, M.D.

• Dentist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.