Individual provider Active NPI

Michael K. Greding, D.D.S.

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1528112158
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5427 Issued in AZ
Practice address
235 E Warner Rd Ste 108
Gilbert, AZ 85296-2972
Phone
(480) 558-4331
Fax
(480) 558-3768
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5427 AZ Primary

Addresses

Primary practice location

235 E Warner Rd Ste 108
Gilbert, AZ 85296-2972

Mailing address

235 E Warner Rd Ste 108
Gilbert, AZ 85296-2972
Phone (480) 558-4331

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Professionals, P.C. PastSince Jun 22, 2021 Accepting new patients
Lifetime Family Dental Past Accepting new patients

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1528112158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-558-4331",
            "fax_number": "480-558-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-558-4331",
            "fax_number": "480-558-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREDING",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.