Active NPI
Victor Gregor, DENTIST DMD
- Dentist
- Colorado Springs, CO
National Provider Identifier
1639141864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4374
- Practice address
- 110 W ENT Ave
21St Dental Squadron
Colorado Springs, CO 80914-1595 - Phone
- (719) 556-1334
- Fax
- (719) 556-1331
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4374 | CO | Primary |
Addresses
Primary practice location
110 W ENT Ave
21St Dental Squadron
Colorado Springs, CO 80914-1595
Mailing address
110 W ENT Ave
21St Dental Squadron
Colorado Springs, CO 80914-1595
Phone (719) 556-1334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4374 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1639141864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W ENT AVE",
"address_2": "21ST DENTAL SQUADRON",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141595",
"telephone_number": "719-556-1334",
"fax_number": "719-556-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W ENT AVE",
"address_2": "21ST DENTAL SQUADRON",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141595",
"telephone_number": "719-556-1334",
"fax_number": "719-556-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGOR",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DENTIST DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "4374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.