Jeffrey Boyd Gregerson, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25245 Issued in TX

Practice address

14005 N Hwy 183 Ste 800
Austin, TX 78717-5960

Phone

(512) 644-1752

Fax

(512) 266-6197

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Dell Children'S Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943
  Medicare reassignment NPD
• Rock That Smile Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1447595855
  NPD Authorized official
• Dell Children'S Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD
• Pamela R. Singletary, DDS, PLLC

  • Pediatric Dentistry
  • Cedar Park, TX
  • NPI 1205190915
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1114238128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 EL SALIDO PKWY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132550",
            "telephone_number": "512-401-8888",
            "fax_number": "512-401-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14005 N HWY 183 STE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175960",
            "telephone_number": "512-644-1752",
            "fax_number": "512-266-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGERSON",
        "first_name": "JEFFREY",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038229",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawyer Faith Greer, MS, RD, LD
• Janna Greeson, PH.D.
• Greg Hupp, PHD, PLLC
• Greg Marchand Family Medicine PA
• Meghan Marie Greger, AU.D., CCC-A
• Gregg E Kamnetz O.D., P.C.
• Gregg Edward Ueckert, PLLC
• Andrea Gregg, LCSW
• Kristy Gregg, OTR
• Simone J Gregoire, M.S., CCC-SLP

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.