Individual provider Active NPI

Gregory L Olavarria

  • Home Modifications Contractor
  • Silver Spring, MD
National Provider Identifier
1275005407
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
123320 Issued in MD
Practice address
2333 Distribution Cir
Silver Spring, MD 20910-1261
Phone
(240) 372-0770
NPI assigned
Dec 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 123320 MD Primary

Addresses

Primary practice location

2333 Distribution Cir
Silver Spring, MD 20910-1261

Mailing address

5708 Wilson LN
Bethesda, MD 20817-6203
Phone (240) 372-0770

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
123320MDMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Get a Grip Construction Services Inc. Past 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": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1275005407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 WILSON LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176203",
            "telephone_number": "240-372-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 DISTRIBUTION CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101261",
            "telephone_number": "240-372-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAVARRIA",
        "first_name": "GREGORY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MD",
            "license": "123320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.