Active NPI
Gregory W Anderson, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Zanesville, OH
National Provider Identifier
1679655641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-022060
- Practice address
- 2695 Maysville Pike
Suite B
Zanesville, OH 43701-8575 - Phone
- (740) 452-6784
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30-022060 | OH | Primary |
Addresses
Primary practice location
2695 Maysville Pike
Suite B
Zanesville, OH 43701-8575
Mailing address
112 Runkle Dr
Pataskala, OH 43062-9650
Phone (614) 327-1400
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-022060 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679655641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 RUNKLE DR",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430629650",
"telephone_number": "614-327-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 MAYSVILLE PIKE",
"address_2": "SUITE B",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437018575",
"telephone_number": "740-452-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GREGORY",
"middle_name": "W",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30-022060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.