Individual provider Active NPI

Michelle Richins Grega, RDH

  • Dental Hygienist
  • Rio Rancho, NM
National Provider Identifier
1477802163
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH2851 Issued in NM
Practice address
1316 Jackie Rd SE
Suite 300
Rio Rancho, NM 87124-6618
Phone
(505) 994-9693
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH2851 NM Primary

Addresses

Primary practice location

1316 Jackie Rd SE
Suite 300
Rio Rancho, NM 87124-6618

Mailing address

7323 Boxwood Ave NE
Albuquerque, NM 87113-2022
Phone (505) 217-3594

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
DH2851NMMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1477802163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 BOXWOOD AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132022",
            "telephone_number": "505-217-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE",
            "address_2": "SUITE 300",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246618",
            "telephone_number": "505-994-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGA",
        "first_name": "MICHELLE",
        "middle_name": "RICHINS",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.