Active NPI
Eugene W Gregory, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Falls Church, VA
National Provider Identifier
1730279936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4539
- Practice address
- 6231 Leesburg Pike
Suite 402
Falls Church, VA 22044-2102 - Phone
- (703) 534-2744
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4539 | VA | Primary |
Addresses
Primary practice location
6231 Leesburg Pike
Suite 402
Falls Church, VA 22044-2102
Mailing address
6231 Leesburg Pike
Suite 402
Falls Church, VA 22044-2102
Phone (703) 534-2744
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 |
|---|---|---|---|
| 4539 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730279936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6231 LEESBURG PIKE",
"address_2": "SUITE 402",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442102",
"telephone_number": "703-534-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6231 LEESBURG PIKE",
"address_2": "SUITE 402",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442102",
"telephone_number": "703-534-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "EUGENE",
"middle_name": "W",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
- Barry William Green Jr., LPTA
- Irene Bonita Green, NURSE PRACTITIONER
- Wendy R Greene, MD
- Greenfield Assisted Living of Stafford LLC (Greenfield Assisted Living of Stafford)
- Geoffrey Greenman, CCC-SLP
- Sky Lauren Gregory, RBT
- Grenell Associates Inc.
- Marcia M. Grenell, PH.D.
- Melissa Rae Gilbert Grenier
- Linda D Grey, RN MSN CS
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.