Michael P Gress DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS034161L Issued in PA

Legal business name

MICHAEL P GRESS DDS PC

Practice address

1223 Scalp Ave
Johnstown, PA 15904-3150

Phone

(814) 266-2190

Fax

(814) 266-2903

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca J Gladis

Title

Surg Asst

Phone

(814) 266-2190

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Paul Gress, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Johnstown, PA
  • NPI 1497731723
  Medicare reassignment NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1700803145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043150",
            "telephone_number": "814-266-2190",
            "fax_number": "814-266-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043150",
            "telephone_number": "814-266-2190",
            "fax_number": "814-266-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P GRESS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "GLADIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SURG ASST",
        "authorized_official_telephone_number": "814-266-2190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS034161L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "615753",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018046340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julian Metro, DO
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• Janice Marie Middler
• Tauheeda Midgett
• Wendy S Mikolich, LCSW
• Jessica Marie Milazzo, MSN, RN, CDCES
• Rory Barrett Milcarek, MD

• Oral and Maxillofacial Surgery (Dentist) in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.