Individual provider Active NPI

Christopher P. Gregg

  • Eyewear Supplier
  • Inver Grove Heights, MN
National Provider Identifier
1750097390
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Practice address
6175 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1527
Phone
(651) 455-1492
Fax
(651) 455-9466
NPI assigned
Jan 26, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

6175 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1527

Mailing address

6175 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1527
Phone (651) 455-1492

Other identifiers 2

IdentifierTypeStateIssuer
29109OtherMNMEDICA
1319889OtherMNMN SALES AND USE TAX NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Peter Gregg CurrentSince Jan 29, 2023 Accepting new patients
Christopher P. Gregg Eyewear Supplier CurrentSince Jan 29, 2023 Accepting new patients

Locations

6175 Cahill Ave
Ste 101
Inver Grove Heights, MN 55076
Phone (651) 455-1492

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1750097390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761527",
            "telephone_number": "651-455-1492",
            "fax_number": "651-455-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761527",
            "telephone_number": "651-455-1492",
            "fax_number": "651-455-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "CHRISTOPHER",
        "middle_name": "P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "29109",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN SALES AND USE TAX NUMBER",
            "identifier": "1319889",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.