Active NPI
James L Gregalot, DDS
- General Practice Dentistry
- Lake Worth, FL
National Provider Identifier
1730274259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 007862
- Practice address
- 4010 S 57TH Ave
Suite 101
Lake Worth, FL 33463 - Phone
- (561) 968-1001
- Fax
- (561) 968-4102
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 007862 | FL | Primary |
Addresses
Primary practice location
4010 S 57TH Ave
Suite 101
Lake Worth, FL 33463
Mailing address
1411 Woodcrest Road East
West Palm Beach, FL 33417
Phone (561) 968-1001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZDA572 | Other | FL | BLUE CROSS BLUE SHIELD |
| 464674 | Other | FL | ANTHEM |
| 467983 | Other | FL | UNITED CONCORDIA |
| 60170 | Other | FL | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 007862 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730274259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 WOODCREST ROAD EAST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33417",
"telephone_number": "561-968-1001",
"fax_number": "561-968-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 S 57TH AVE",
"address_2": "SUITE 101",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-968-1001",
"fax_number": "561-968-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGALOT",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 007862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "ZDA572",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "464674",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "467983",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60170",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
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.