Jeffrey J Gries, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6698 Issued in OR

Practice address

231 NW Starr St
Sublimity, OR 97385-9827

Phone

(503) 769-5611

Fax

(503) 769-1208

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sublimity Dental

  • General Practice Dentistry
  • Sublimity, OR
  • NPI 1538434022
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1265489884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NW STARR ST",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859827",
            "telephone_number": "503-769-5611",
            "fax_number": "503-769-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NW STARR ST",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859827",
            "telephone_number": "503-769-5611",
            "fax_number": "503-769-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIES",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Alexandra Dunham, MD
• Ernmaur Inc
• Crystal Joyce Filbey
• Catherine L Fleming, LMT
• Nancy Jean Forrest, COTA
• Frank Christopher Herb, PTA
• Austin Forsythe Horn I
• Connie L Koczur
• Jeffrey Allan Koller, PA-C
• Jamie Leach, RN

• General Practice Dentistry in Sublimity, OR
• Providers in Sublimity, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.