Individual provider Active NPI

Gregory Thomas Germino, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1093032146
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028349 Issued in IL
Practice address
9763 W 143Rd St Ste a
Orland Park, IL 60462-2575
Phone
(708) 349-3443
NPI assigned
Apr 29, 2010
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019028349 IL Primary

Addresses

Primary practice location

9763 W 143Rd St Ste a
Orland Park, IL 60462-2575

Mailing address

9763 W 143Rd St Ste a
Orland Park, IL 60462-2575
Phone (708) 349-3443

Other names 1

  • Dr. Greg Thomas Germino Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019028349ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1093032146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 W 143RD ST STE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622575",
            "telephone_number": "708-349-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 W 143RD ST STE A",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622575",
            "telephone_number": "708-349-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMINO",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "GERMINO",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.