Organization Active NPI

Gregory S Meyers DDS MSD

  • Periodontics
  • Pinole, CA
National Provider Identifier
1770458069
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GREGORY S MEYERS DDS MSD
Practice address
1420 Tara Hills Dr Ste C
Pinole, CA 94564-2530
Phone
(510) 724-8441
Fax
(510) 724-0120
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Laurie Owens, CPB, CPC, COC
Title
Director
Phone
(425) 280-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1420 Tara Hills Dr Ste C
Pinole, CA 94564-2530

Mailing address

1420 Tara Hills Dr Ste C
Pinole, CA 94564-2530
Phone (510) 724-8441

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1770458069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TARA HILLS DR STE C",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642530",
            "telephone_number": "510-724-8441",
            "fax_number": "510-724-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TARA HILLS DR STE C",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642530",
            "telephone_number": "510-724-8441",
            "fax_number": "510-724-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S MEYERS DDS MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-280-1542",
        "authorized_official_credential": "CPB, CPC, COC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.