Gregory a Evanoff DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

1712 Issued in ND

Legal business name

GREGORY A EVANOFF DDS PC

Practice address

1000 31St Av SW
Minot, ND 58701-6958

Phone

(701) 852-3222

Fax

(701) 852-2767

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Gregory A Evanoff, DDS

Title

Owner Dentist

Phone

(701) 852-3222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619088770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 31ST AV SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016958",
            "telephone_number": "701-852-3222",
            "fax_number": "701-852-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 31ST AV SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016958",
            "telephone_number": "701-852-3222",
            "fax_number": "701-852-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A EVANOFF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANOFF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "701-852-3222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41289",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Jean Gravley, MS
• Amy Annette Gray, LCSW
• Greer Dental,P.C.
• Elizabeth Sue Greer, DDS
• Murray Edward Greer, DDS
• Nicholas G Grennell, DDS
• Shubneet K. Grewal, MD
• Danielle Nicole Griffith-McCauley
• Wyatt Grindy, DC
• Chelsey Ann Gronewold, MS, CCC-SLP

• Dentist in Minot, ND
• Providers in Minot, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.