Individual provider Active NPI

Gregory Nelson Day, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pueblo, CO
National Provider Identifier
1780749176
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6563 Issued in CO
Practice address
3902 Sandlewood LN
Pueblo, CO 81005-7501
Phone
(719) 561-2440
Fax
(719) 561-0612
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6563 CO Primary

Addresses

Primary practice location

3902 Sandlewood LN
Pueblo, CO 81005-7501

Mailing address

3902 Sandlewood LN
Pueblo, CO 81005-7501
Phone (719) 561-2440

Other identifiers 1

IdentifierTypeStateIssuer
02065639MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000477 CO Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0244129351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6563COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory N Day DDS Oral Surgury PC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2003 Accepting new patients

Locations

3902 Sandalwood Ln
Unit 110
Pueblo, CO 81005
Phone (719) 561-2440

Interoperability endpoints

  • Direct secure messaging: gregory.day.p1@direct.pueblochc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780749176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SANDLEWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810057501",
            "telephone_number": "719-561-2440",
            "fax_number": "719-561-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 SANDLEWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810057501",
            "telephone_number": "719-561-2440",
            "fax_number": "719-561-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "GREGORY",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02065639",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.