Active NPI
Kent Gregory, CSFA
- Surgical Assistant
- Friendswood, TX
National Provider Identifier
1477030229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 500 Pine Bluff Dr
Friendswood, TX 77546-3558 - Phone
- (832) 423-5609
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | TX | Primary |
Addresses
Primary practice location
500 Pine Bluff Dr
Friendswood, TX 77546-3558
Mailing address
500 Pine Bluff Dr
Friendswood, TX 77546-3558
Phone (832) 423-5609
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1477030229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PINE BLUFF DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463558",
"telephone_number": "832-423-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PINE BLUFF DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463558",
"telephone_number": "832-423-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "KENT",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.