Gregory Allen Way II

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53900 Issued in KY

Practice address

3935 Dupont Cir Ste D
Louisville, KY 40207-4824

Phone

(502) 897-0424

Fax

(502) 897-0427

NPI assigned

Apr 30, 2014

Last updated

Jun 10, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

University of Louisville School of Dentistry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green and Jones Oral and Maxillofacial Surgery PLLCGroup PAC ID 8820324759, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green & Jones Oral and Maxillofacial Surgery PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Louisville, KY
  • NPI 1205300290

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Ralph M. Green DMD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1922586338
  NPD

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1154731156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 DEER PARK AVE APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051253",
            "telephone_number": "865-748-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIR STE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074824",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3809 Poplar Level Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402131429",
            "country_code": "US",
            "telephone_number": "502-459-4273",
            "fax_number": "502-459-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1955 Deer Park Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402051253",
            "country_code": "US",
            "telephone_number": "865-748-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9444",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "53900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100721880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Mark Watts, APRN, PMHNP-BC
• David Neal Waugh, DMD
• Maritza Waugh, DPT
• Amanda Kay Waun, P.T.A.
• Andrew Way, DMD
• Rachel Way, APRN
• Scott A Way, PT
• Courtney C Wayland, PT
• Wayne Corporation
• Erik J Wayne

• Oral and Maxillofacial Surgery (Dentist) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.