Individual provider Active NPI

Gregory Kevin Gor, DDS

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1366447575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20485 Issued in TX
Practice address
14881 Southwest Fwy
# A-102
Sugar Land, TX 77478-5016
Phone
(281) 240-2545
Fax
(281) 240-2544
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20485 TX Primary

Addresses

Primary practice location

14881 Southwest Fwy
# A-102
Sugar Land, TX 77478-5016

Mailing address

14881 Southwest Fwy
# A-102
Sugar Land, TX 77478-5016
Phone (281) 240-2545

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20485TXMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366447575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14881 SOUTHWEST FWY",
            "address_2": "# A-102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-240-2545",
            "fax_number": "281-240-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14881 SOUTHWEST FWY",
            "address_2": "# A-102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-240-2545",
            "fax_number": "281-240-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOR",
        "first_name": "GREGORY",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • 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.