W . Jarrod Gregg, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

W . JARROD GREGG, DDS, LLC

Practice address

1148 Logan Sewell Dr
Vidalia, LA 71373-3342

Phone

(318) 336-5711

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Melissa W Gregg

Title

Office Manager

Phone

(318) 336-5711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jarrod Gregg, DDS

  • Dentist
  • Vidalia, LA
  • NPI 1740350453
  NPD
• Anna R Womack, DDS

  • Dentist
  • Vidalia, LA
  • NPI 1235754839
  NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1407479819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 LOGAN SEWELL DR",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 LOGAN SEWELL DR",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733342",
            "telephone_number": "318-336-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W . JARROD GREGG, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-336-5711"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Urgent Care
• Town of Vidalia
• Dominique Trimble
• Brittany Tyler
• Vicksburg Clinic LLC
• Wal-Mart Stores East LP
• Breanna M Walker
• Warshaw Chiropractic Clinic LLC
• Monty Roy Warshaw, D.C.
• Ladonna Kay Washington-Harper

• Dental Clinic/Center in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.