Organization Active NPI

Grants Pass Prosthodontics, PC

  • Prosthodontics
  • Grants Pass, OR
National Provider Identifier
1184749657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D6932 Issued in OR
Legal business name
GRANTS PASS PROSTHODONTICS, PC
Practice address
570 NE E St
Grants Pass, OR 97526-2326
Phone
(541) 476-2166
Fax
(541) 476-2152
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel John Garey, DDSNPI 1235172776
Title
President
Phone
(541) 476-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X D6932 OR Primary

Addresses

Primary practice location

570 NE E St
Grants Pass, OR 97526-2326

Mailing address

570 NE E St
Grants Pass, OR 97526-2326
Phone (541) 476-2166

Other identifiers 1

IdentifierTypeStateIssuer
118677-93OtherORCORPORATION NUMBER

Other names 1

  • Daniel J GaRey, DDS,MS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184749657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NE E ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262326",
            "telephone_number": "541-476-2166",
            "fax_number": "541-476-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NE E ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262326",
            "telephone_number": "541-476-2166",
            "fax_number": "541-476-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS PROSTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAREY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-476-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "OR",
            "license": "D6932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "118677-93",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel J GaRey, DDS,MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.