Organization Active NPI

Gregory L. Ten Eyck DDS PC

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1023221405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3906 Issued in AZ
Legal business name
GREGORY L. TEN EYCK DDS PC
Practice address
2233 W Baseline Rd
Suite 104
Tempe, AZ 85283-1495
Phone
(602) 438-9245
Fax
(602) 438-8695
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory Louis Ten Eyck, DDSNPI 1184622953
Title
Owner
Phone
(602) 438-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3906 AZ Primary

Addresses

Primary practice location

2233 W Baseline Rd
Suite 104
Tempe, AZ 85283-1495

Mailing address

2233 W Baseline Rd
Suite 104
Tempe, AZ 85283-1495
Phone (602) 438-9245

National Provider Directory

National Provider Directory

Locations

2233 W Baseline Rd
Ste 104
Tempe, AZ 85283
Phone (602) 438-9245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023221405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W BASELINE RD",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831495",
            "telephone_number": "602-438-9245",
            "fax_number": "602-438-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W BASELINE RD",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831495",
            "telephone_number": "602-438-9245",
            "fax_number": "602-438-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. TEN EYCK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEN EYCK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-438-9245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.