Greggory Bryan Irving, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

64091 Issued in CA

Practice address

2522 Dana St Ste 202
Berkeley, CA 94704-2803

Phone

(510) 848-1055

Fax

(510) 848-9100

NPI assigned

Apr 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Alex R. McDonald, PHD, DDS, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Oakland, CA
  • NPI 1659415743
  NPD (past)
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  • Pediatric Dentistry
  • Sacramento, CA
  • NPI 1740628528
  NPD (past)

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1376961334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 DANA ST STE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042803",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 DANA ST STE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042803",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "GREGGORY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2024-06-10",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "64091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Radiation Oncology Medical Associates PC
• Internal Medicine Associates of Berkeley, a Medical Corporation
• Invest, LLC
• Claudia I Iota-Herbei
• Shoreh Kooshesh Irani II, MD
• David H. Irwin, M.D.
• Ernest Isaacs, M.F.T.
• Sheb Isbell
• Catherine Isenstadt, MA MFT
• Jonah Patrick Isenstein, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.