Robert Lee Gregorsok, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08289 Issued in IA

Practice address

1301 W 1St St
Cedar Falls, IA 50613-2113

Phone

(319) 277-4600

Fax

(319) 266-5270

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rgregorsok108288@direct.unitypoint.org
• Direct secure messaging: rgregorsok3932380@direct.trinity-health.org

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.

• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Cedar Valley Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Cedar Falls, IA
  • NPI 1194050286
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1205980414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORSOK",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08289",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas L Graham, PT
• Wes Grapp, PTA
• Kathleen A.N. Grauerholz, MD
• Michele Renee Green, CHIROPRACTOR
• Terrance Greer, MS, (TLMHC)
• Grief Therapy of Iowa, LLC
• Tyler Michael Grimm, LMSW
• Tyler Grof
• Ashley Ann Gruver
• Guided Minds Therapy LLC

• All providers in Cedar Falls, IA
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.