Active NPI
Gregory L. Richardson DDS.Ms.PA
- Exclusive Provider Organization
- Wilmington, NC
National Provider Identifier
1033380423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 5744
- Legal business name
- GREGORY L. RICHARDSON DDS.MS.PA
- Practice address
- 2606 Iron Gate Dr
Suite 101
Wilmington, NC 28412-2573 - Phone
- (910) 452-7988
- Fax
- (910) 452-7632
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory L Richardson, DDS
- Title
- Owner
- Phone
- (910) 452-7988
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 5744 | NC | Primary |
Addresses
Primary practice location
2606 Iron Gate Dr
Suite 101
Wilmington, NC 28412-2573
Mailing address
2606 Iron Gate Dr
Suite 101
Wilmington, NC 28412-2573
Phone (910) 452-7988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899736B | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wilmington, NC
- NPI 1952529364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1033380423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 IRON GATE DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122573",
"telephone_number": "910-452-7988",
"fax_number": "910-452-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 IRON GATE DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122573",
"telephone_number": "910-452-7988",
"fax_number": "910-452-7632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY L. RICHARDSON DDS.MS.PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-452-7988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NC",
"license": "5744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899736B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.