Organization Active NPI

Gary T Gregg, DDS PS

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1063666832
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
600 477 520 Issued in WA
Legal business name
GARY T GREGG, DDS PS
Practice address
700 N Devine Rd
Suite a
Vancouver, WA 98661-6964
Phone
(360) 750-1385
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Gary Thomas Gregg, DDS
Title
President
Phone
(360) 750-1385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 600 477 520 WA Primary

Addresses

Primary practice location

700 N Devine Rd
Suite a
Vancouver, WA 98661-6964

Mailing address

700 N Devine Rd
Suite a
Vancouver, WA 98661-6964
Phone (360) 750-1385

Other names 1

  • Gregg Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

700 N Devine Rd
Ste A
Vancouver, WA 98661
Phone (360) 750-1385

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1063666832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N DEVINE RD",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616964",
            "telephone_number": "360-750-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DEVINE RD",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616964",
            "telephone_number": "360-750-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY T GREGG, DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-750-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "600 477 520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregg Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.