NPIMap

Organization Active NPI

Greg Philson DDS PC

  • General Practice Dentistry
  • Pueblo, CO
National Provider Identifier
1699181735
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5932 Issued in CO
Legal business name
GREG PHILSON DDS PC
Practice address
830 W Abriendo Ave
830 W Abriendo Ave
Pueblo, CO 81004-1500
Phone
(719) 545-6421
Fax
(719) 545-6422
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Greg Allen Philson, DDSNPI 1699748194
Title
Doctor
Phone
(719) 545-6421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5932 CO Primary

Addresses

Primary practice location

830 W Abriendo Ave
830 W Abriendo Ave
Pueblo, CO 81004-1500

Mailing address

830 W Abriendo Ave
Pueblo, CO 81004-1500
Phone (719) 545-6421

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1699181735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041500",
            "telephone_number": "719-545-6421",
            "fax_number": "719-545-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W ABRIENDO AVE",
            "address_2": "830 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041500",
            "telephone_number": "719-545-6421",
            "fax_number": "719-545-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG PHILSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "PHILSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "719-545-6421",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.