Gregory PO Dentistry, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4425 Issued in NV

Legal business name

GREGORY PO DENTISTRY, A PROFESSIONAL CORPORATION

Practice address

4825 S Rainbow Blvd
Las Vegas, NV 89103-4914

Phone

(702) 731-1000

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Gregory PO

Title

Owner

Phone

(702) 562-9031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1508040890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 CORTILE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034914",
            "telephone_number": "702-731-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PO DENTISTRY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-562-9031"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corazon SM Gregorio, M.D.
• Nicole Gregorio, MSN, APRN, PMHNP-BC
• Raquel Millagros Gregorio
• Gregory a. Bowman, DDS a Professional Corporation
• Gregory L Goetz DO a Professional Corp
• Gregory T Sholeff MD CH
• Gregory U Mackay PLLC
• Alexis Gregory
• Alyssa Gregory
• Amy Gregory

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.