Active NPI
Gregory N Day DDS Oral Surgury PC
- Oral and Maxillofacial Surgery (Dentist)
- Pueblo, CO
National Provider Identifier
1528237641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6563
- Legal business name
- GREGORY N DAY DDS ORAL SURGURY PC
- Practice address
- 3902 Sandlewood LN
Suite 110
Pueblo, CO 81005-7501 - Phone
- (719) 561-2440
- Fax
- (719) 561-0612
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Nelson Day, DDS/OMS
- Title
- Owner/Oral Surgeon
- Phone
- (719) 561-2440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6563 | CO | Primary |
Addresses
Primary practice location
3902 Sandlewood LN
Suite 110
Pueblo, CO 81005-7501
Mailing address
3902 Sandlewood LN
Suite 110
Pueblo, CO 81005-7501
Phone (719) 561-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08328544 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3902 Sandalwood Ln
Unit 110
Pueblo, CO 81005
Phone (719) 561-2440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Pueblo, CO
- NPI 1780749176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1528237641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 SANDLEWOOD LN",
"address_2": "SUITE 110",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810057501",
"telephone_number": "719-561-2440",
"fax_number": "719-561-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 SANDLEWOOD LN",
"address_2": "SUITE 110",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810057501",
"telephone_number": "719-561-2440",
"fax_number": "719-561-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY N DAY DDS ORAL SURGURY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "OWNER/ORAL SURGEON",
"authorized_official_telephone_number": "719-561-2440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS/OMS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "6563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08328544",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.