Active NPI
Donald G Gregory, DMD
- Dentist
- Spartanburg, SC
National Provider Identifier
1033229042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2410
- Practice address
- 975 North Church Street
Spartanburg, SC 29303 - Phone
- (864) 582-4308
- Fax
- (864) 596-4492
- NPI assigned
- Aug 30, 2006
- 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 | 2410 | SC | Primary |
Addresses
Primary practice location
975 North Church Street
Spartanburg, SC 29303
Mailing address
975 North Church Street
Spartanburg, SC 29303
Phone (864) 582-4308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9992 | Medicaid | SC | |
| 8990066 | Medicaid | NC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1033229042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 NORTH CHURCH STREET",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-582-4308",
"fax_number": "864-596-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 NORTH CHURCH STREET",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-582-4308",
"fax_number": "864-596-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "DONALD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9992",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990066",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.