Greg McPherson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2067 Issued in MT

Practice address

3241 Rue Royale
Saint Charles, MO 63301-8225

Phone

(636) 493-1960

Fax

(636) 493-1963

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1275634396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 RUE ROYALE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018225",
            "telephone_number": "636-493-1960",
            "fax_number": "636-493-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 RUE ROYALE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018225",
            "telephone_number": "636-493-1960",
            "fax_number": "636-493-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2067",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009007429",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer McMahon, LPC
• India McMillan, MA, PLPC
• David Patrick McNamara, D.C.
• Mackenzie McNamara, D.C.
• Kimberly Sue McNeill, SLP
• Stephanie Renee McRight, LPC
• Med X Change, LLC
• Medsure Medical LLC
• Kelly Kubala Mehan, L.C.S.W
• Mona Margaret Mehl-Rudd, MS PT

• General Practice Dentistry in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.