Gregory R. Mann DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6183 Issued in OR

Legal business name

GREGORY R. MANN DDS PC

Practice address

2318 NW Kings Blvd
Corvallis, OR 97330-3925

Phone

(541) 754-6116

Fax

(541) 753-3616

NPI assigned

Jun 30, 2009

Organization subpart

Yes

Parent organization

GREGORY R MANN DDS PCAs reported in NPPES

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

Authorized official

Name

Gregory R Mann, DDS

Title

President

Phone

(541) 754-6116

Specialties & licenses 1

Addresses

Part of

Gregory R Mann DDS PC

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1275761116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-754-6116",
            "fax_number": "541-753-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-754-6116",
            "fax_number": "541-753-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R. MANN DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGORY R MANN DDS PC",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-754-6116",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Greene
• Sarah Greenwalt, OTR
• Angela Faulk Greenwood
• Taylor Gregg
• Gregory C Helms PT DPT L L C
• Megan Renee Gregory-Goplen
• Marcie Dodge Gregory, MS, RD, LD
• Quy Andrew Gregory
• Anna Greschner, M.D.
• Dimitri Greschner, MD

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, 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 Jun 30, 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.