John Howard Gregory, CERTIFIED ORTHOTIST

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CO003723 Issued in OR

Practice address

2020 8TH Ave Ste 222
West Linn, OR 97068-4657

Phone

(503) 344-6642

Fax

(503) 305-7045

NPI assigned

Dec 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Medical Concepts, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
  • NPI 1376913301
  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1699488007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61538 HARDIN MARTIN CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023702",
            "telephone_number": "503-348-7830",
            "fax_number": "503-305-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 222",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-344-6642",
            "fax_number": "503-305-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "credential": "CERTIFIED ORTHOTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "CO003723",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OR",
            "license": "CO003723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NETWORK",
            "affiliation": "N",
            "endpointDescription": "COMPUTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2020 8th Ave Ste 222",
            "city": "West Linn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970684657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tanya Marie Gore
• Jane Marie Grace, R.D.
• Krista Grant
• Jessica Marie Greenleaf, LMT
• Gregory L. Combs, M.D., P.C.
• Gresham Family Care Inc (Care Plus You)
• Corey Gene Griggs
• Frank M Gruner, FRANK GRUNER
• Gregory Gullo, MD
• Addie Teller Hahn, L.M.T., C.C.L.S.

• Prosthetic/Orthotic Supplier in West Linn, OR
• Providers in West Linn, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.