Zachary Gregory

Primary specialty

DentistTaxonomy code 122300000X

License

9884 Issued in KY

Practice address

1015 Professional Blvd
Evansville, IN 47714-8010

Phone

(812) 437-1015

NPI assigned

Jun 10, 2016

Last updated

Mar 5, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merit Dentistry of Indiana, PC

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1811311525
  NPD (past)
• River Bend Dental Group

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1881970424
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1487003430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 2ND ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203227",
            "telephone_number": "270-826-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148010",
            "telephone_number": "812-437-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audubondentalcenter@gmail.com",
            "affiliation": "N",
            "address_1": "716 2nd St",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424203227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregg J. Gormley, DVM (Highland Veterinary Clinic)
• Gregory P. Gordon,LCSW,Inc.
• Carletta Sue Gregory, MT-BC
• Cierra Gregory
• Mary Margaret Gregory, FNP-C
• Sandra Gregson, RBT
• John C Greif, DDS, MSD
• Jasdip Grewal, M.D.
• Amanda Grewe, RN
• Mackenzie Griepenstroh

• Dentist in Evansville, IN
• Providers in Evansville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.