Individual provider Active NPI

Joseph Randall Gregg, D.D.S, M.S.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Muncie, IN
National Provider Identifier
1558488668
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12009761 Issued in IN
Practice address
3405 W Purdue Ave
Muncie, IN 47304-5268
Phone
(765) 288-1902
Fax
(765) 288-3829
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12009761 IN Primary

Addresses

Primary practice location

3405 W Purdue Ave
Muncie, IN 47304-5268

Mailing address

3405 W Purdue Ave
Muncie, IN 47304-5268
Phone (765) 288-1902

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
12009761INMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
J Gregg Ortho LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
J.R. Gregg LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

3405 W Purdue Ave
Muncie, IN 47304
Phone (765) 288-1902

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1558488668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045268",
            "telephone_number": "765-288-1902",
            "fax_number": "765-288-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045268",
            "telephone_number": "765-288-1902",
            "fax_number": "765-288-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JOSEPH",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.