Individual provider Active NPI

Gregory Daniel White, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsville, NY
National Provider Identifier
1154764793
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
059138 Issued in NY
Practice address
6599 Main St
Williamsville, NY 14221-5820
Phone
(716) 333-7873
NPI assigned
Apr 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 059138 NY Primary

Addresses

Primary practice location

6599 Main St
Williamsville, NY 14221-5820

Mailing address

80 Rollingwood St
Williamsville, NY 14221-1834
Phone (716) 903-3274

Other practice location 1

1947 Ridge Rd
West Seneca, NY 14224-3339
Phone (716) 675-9777

Other practice location 2

200 Albert Sabin Way
Cincinnati, OH 45267-0461
Phone (513) 584-2586

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
059138NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Oral Surgery Alliance of Upstate New York, PLLC Oral and Maxillofacial Surgery PastSince Nov 4, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1154764793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROLLINGWOOD ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211834",
            "telephone_number": "716-903-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6599 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215820",
            "telephone_number": "716-333-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243339",
            "country_code": "US",
            "telephone_number": "716-675-9777",
            "fax_number": "716-675-9645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Albert Sabin Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452670461",
            "country_code": "US",
            "telephone_number": "513-584-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GREGORY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-13",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.