Amanda Anderson Gregory, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3525 Issued in SC

Practice address

1223 Boonehill Rd
Summerville, SC 29483-2403

Phone

(843) 871-9924

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wooley Family Dentistry

  • Dentist
  • Summerville, SC
  • NPI 1508069006

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336233469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BOONEHILL RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832403",
            "telephone_number": "843-871-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BOONEHILL RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832403",
            "telephone_number": "843-871-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "AMANDA",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "935258",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara M Green, MSPT
• Taylor Wharton Green
• Brandi L Greene, PTA
• Dana Monique Greene
• Greenville Oral Maxillofacial Surgery, P.a., a South Carolina Professi (Summerville Oral Surgery)
• Grey Dove Counseling
• Griffin Dental, PA
• Kent Griffin, D.D.S
• Sarah P Griffin, CCC-SLP
• Melanie Griffith, NP

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.