Individual provider Active NPI

Gregory B Hammers, DDS

  • Dentist
  • New York Mills, MN
National Provider Identifier
1316960727
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9000 Issued in MN
Practice address
206 Walker Ave N
New York Mills, MN 56567-4004
Phone
(218) 385-3130
Fax
(218) 385-9131
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9000 MN Primary

Addresses

Primary practice location

206 Walker Ave N
New York Mills, MN 56567-4004

Mailing address

206 Walker Ave N
New York Mills, MN 56567-4004
Phone (218) 385-3130

Other identifiers 1

IdentifierTypeStateIssuer
046718900MedicaidMN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9000MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Family Dentistry PA CurrentSince Mar 12, 2024 Accepting new patients

Locations

206 Walker Ave N
New York Mills, MN 56567
Phone (218) 385-3130

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1316960727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WALKER AVE N",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674004",
            "telephone_number": "218-385-3130",
            "fax_number": "218-385-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALKER AVE N",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674004",
            "telephone_number": "218-385-3130",
            "fax_number": "218-385-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERS",
        "first_name": "GREGORY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046718900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.