Mary E Gregory, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6675 Issued in VA

Practice address

4500 Old Dominion Drive
Arlington, VA 22207

Phone

(703) 527-6495

Fax

(703) 527-6059

NPI assigned

Aug 29, 2006

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 names 1

• Mary G Balderson Other name

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1336257252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 OLD DOMINION DRIVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-527-6495",
            "fax_number": "703-527-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 OLD DOMINION DRIVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-527-6495",
            "fax_number": "703-527-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BALDERSON",
            "middle_name": "G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yeneisha Greene, MD
• Jacqueline Greenman
• Alice Greenwood
• Colleen Greenwood
• Megan Gregory-Morley, BCBA
• Julia Grimson
• Mallory Grossman, DDS
• Kyle Groth
• Tiwanna Chantrell Grover
• Richard David Gruntz II Jr., DDS

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.