Gregory Ray Gates, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104170 Issued in CO

Practice address

4102 Pinion Dr Ste 100
10TH Medical Group
Usaf Academy, CO 80840-2502

Phone

(719) 333-5190

Fax

(719) 333-5268

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1659340362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR STE 100",
            "address_2": "10TH MEDICAL GROUP",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5190",
            "fax_number": "719-333-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR STE 100",
            "address_2": "10TH MEDICAL GROUP",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5190",
            "fax_number": "719-333-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "GREGORY",
        "middle_name": "RAY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann M Fulton, NP
• Annette Susan Gablehouse, CRNA
• Steven Galvan, PSY.D.
• Kassia O Garfield, DPT
• Marlene Marie Gary, RDH
• Charles Geibig
• Brett Michael Germain, D.D.S.
• Natalie Faith Germain, D.D.S.
• Ruth Ann German, DO
• David E Geyer, D.O., M.P.H.

• General Practice Dentistry in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.