NPIMap

Organization Active NPI

Gregory E. Anderson PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, UT
National Provider Identifier
1619826864
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GREGORY E. ANDERSON PC
Practice address
1395 N 400 E Ste B
Logan, UT 84341-7531
Phone
(435) 755-5000
Fax
(435) 755-5099
NPI assigned
Jan 22, 2026
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Linsey Groesbeck
Title
Office Manager
Phone
(435) 755-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

1395 N 400 E Ste B
Logan, UT 84341-7531

Mailing address

1395 N 400 E Ste B
Logan, UT 84341-7531
Phone (435) 755-5000

National Provider Directory

National Provider Directory
Tax ID family
Gregory E Anderson PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1395 N 400 E
Ste B
Logan, UT 84341
Phone (435) 755-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1619826864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N 400 E STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417531",
            "telephone_number": "435-755-5000",
            "fax_number": "435-755-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N 400 E STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417531",
            "telephone_number": "435-755-5000",
            "fax_number": "435-755-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. ANDERSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "GROESBECK",
        "authorized_official_first_name": "LINSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-755-5000"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

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