Individual provider Active NPI

Gregory Bernard Palmer, D.M.D

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1245548973
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25644 Issued in TX
Practice address
9113 Stella Link Rd
Suite 1
Houston, TX 77025-3900
Phone
(713) 357-1777
Fax
(832) 383-0022
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25644 TX Primary

Addresses

Primary practice location

9113 Stella Link Rd
Suite 1
Houston, TX 77025-3900

Mailing address

9113 Stella Link Rd Ste 1
Houston, TX 77025-3930
Phone (713) 375-1777

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25644TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Palmer DMD PC CurrentSince Sep 8, 2019 Accepting new patients

Locations

9113 Stella Link Rd
Ste 1
Houston, TX 77025
Phone (713) 357-1777

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1245548973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 STELLA LINK RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253930",
            "telephone_number": "713-375-1777",
            "fax_number": "832-383-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 STELLA LINK RD",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253900",
            "telephone_number": "713-357-1777",
            "fax_number": "832-383-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GREGORY",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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