Gregory A Conner, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

303 Issued in OK

Practice address

244 Hydraulic Ridge Road
Charlottesville, VA 22901

Phone

(434) 973-3348

Fax

(434) 977-5790

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

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.

Enrollment records 1

Specialty

Oral Surgery

Education

Ohio State University College of Dentistry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Oral and Maxillofacial Surgery, PCGroup PAC ID 9234103359, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• East Tennessee Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Maryville, TN
  • NPI 1174624498
  Medicare reassignment Care Compare group NPD
• East Tennessee Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Morristown, TN
  • NPI 1942510946
  NPD
• Central Virginia Oral & Facial Surgeons, PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlottesville, VA
  • NPI 1336167006
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1083785091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HYDRAULIC RIDGE ROAD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-973-3348",
            "fax_number": "434-977-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 HYDRAULIC RIDGE ROAD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-973-3348",
            "fax_number": "434-977-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connections Chiropractic Center
• Katelyn Purcell Connell, DPT
• Ben Connelly
• Carolin Connelly, AG-ACNP
• David John Connelly, D.D.S.
• Joseph J Connor, B.S., PHARM., M.S.
• Kara Leigh Burgess Connors, M.S., CCC-SLP
• Alyssa Conrad, PA
• Kimberly Conrad
• Riley A Conrad, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.