Active NPI
Gregory S Meyers DDS MSD
- Periodontics
- Pinole, CA
National Provider Identifier
1770458069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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 DirectoryPractitioners & 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.