Individual provider Active NPI

Gregory D McGann, DMD

  • Pediatric Dentistry
  • West Deptford, NJ
National Provider Identifier
1427070341
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1570500 Issued in NJ
Practice address
776 Grove Rd
West Deptford, NJ 08086
Phone
(856) 848-2211
Fax
(856) 848-8630
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1570500 NJ Primary

Addresses

Primary practice location

776 Grove Rd
West Deptford, NJ 08086

Mailing address

776 Grove Rd
West Deptford, NJ 08086
Phone (856) 848-2211

Other identifiers 1

IdentifierTypeStateIssuer
5087104MedicaidNJ

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
1570500NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart a Wasserlauf DDS PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1427070341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "1570500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5087104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.